MHS Modified Payment and Waiver Program Calculator

This calculator provides the potential discount amount that could be applied to a medical bill under the MHS Modified Payment and Waiver Program. The DHA Debt Adjudication Office reviews and adjudicates discounts. Their determination is based on required paperwork submitted with each application.

You must fill out all fields on the calculator.

Calculator for the MHS Modified Payment and Waiver Program

* indicates required field

Location is required.
Annual income is required.
Household size is required, and must be between 1 and 14.
Amount billed is required.