Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed...

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Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 1 of 19 Collateral Document Topic Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020 ID # 11.10-19.01 Parent Co-Pays listed in the table are based on full-time care Parent Co-Pays will be half of the fees listed in the table for part-time care HH % of SMI Family Income Lower Limit Family Income Upper Limit Fee Amt. for 1 Fee Amt. for 2 Fee Amt. for 3 Fee Amt. for 4 Fee Amt. for 5 Fee Amt. for 6 Fee Amt. for 7 Fee Amt. for 8 Fee Amt. for 9 Fee Amt. for 10 2 10.0% $0 $415 $3 12.5% $416 $519 $8 15.0% $520 $622 $9 17.5% $623 $726 $11 20.0% $727 $830 $13 22.5% $831 $933 $14 25.0% $934 $1,037 $16 27.5% $1,038 $1,141 $18 30.0% $1,142 $1,245 $19 32.5% $1,246 $1,348 $21 35.0% $1,349 $1,452 $23 37.5% $1,453 $1,556 $24 40.0% $1,557 $1,659 $26 42.5% $1,660 $1,763 $28 45.0% $1,764 $1,867 $30 47.5% $1,868 $1,971 $31 50.0% $1,972 $2,074 $33 52.5% $2,075 $2,178 $35 55.0% $2,179 $2,282 $36 57.5% $2,283 $2,385 $38 60.0% $2,386 $2,489 $40 85.0% $2,490 $3,526 $37

Transcript of Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed...

Page 1: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 1 of 19

Collateral Document

Topic Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020 ID # 11.10-19.01

• Parent Co-Pays listed in the table are based on full-time care • Parent Co-Pays will be half of the fees listed in the table for part-time care

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

2 10.0% $0 $415 $3 12.5% $416 $519 $8 15.0% $520 $622 $9 17.5% $623 $726 $11 20.0% $727 $830 $13 22.5% $831 $933 $14 25.0% $934 $1,037 $16 27.5% $1,038 $1,141 $18 30.0% $1,142 $1,245 $19 32.5% $1,246 $1,348 $21 35.0% $1,349 $1,452 $23 37.5% $1,453 $1,556 $24 40.0% $1,557 $1,659 $26 42.5% $1,660 $1,763 $28 45.0% $1,764 $1,867 $30 47.5% $1,868 $1,971 $31 50.0% $1,972 $2,074 $33 52.5% $2,075 $2,178 $35 55.0% $2,179 $2,282 $36 57.5% $2,283 $2,385 $38 60.0% $2,386 $2,489 $40 85.0% $2,490 $3,526 $37

Page 2: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 2 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

3 10.0% $0 $512 $4 $7 12.5% $513 $641 $9 $16 15.0% $642 $769 $11 $19 17.5% $770 $897 $14 $25 20.0% $898 $1,025 $16 $28 22.5% $1,026 $1,153 $18 $32 25.0% $1,154 $1,281 $20 $35 27.5% $1,282 $1,409 $22 $39 30.0% $1,410 $1,537 $24 $42 32.5% $1,538 $1,666 $26 $46 35.0% $1,667 $1,794 $28 $49 37.5% $1,795 $1,922 $30 $53 40.0% $1,923 $2,050 $32 $56 42.5% $2,051 $2,178 $34 $60 45.0% $2,179 $2,306 $37 $65 47.5% $2,307 $2,434 $39 $68 50.0% $2,435 $2,562 $41 $72 52.5% $2,563 $2,691 $43 $75 55.0% $2,692 $2,819 $45 $79 57.5% $2,820 $2,947 $47 $82 60.0% $2,948 $3,075 $49 $86 85.0% $3,076 $4,356 $46 $81

Page 3: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 3 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

4 10.0% $0 $610 $5 $9 $13 12.5% $611 $763 $11 $19 $28 15.0% $764 $915 $14 $25 $35 17.5% $916 $1,068 $16 $28 $40 20.0% $1,069 $1,220 $19 $33 $48 22.5% $1,221 $1,373 $21 $37 $53 25.0% $1,374 $1,525 $24 $42 $60 27.5% $1,526 $1,678 $26 $46 $65 30.0% $1,679 $1,830 $29 $51 $73 32.5% $1,831 $1,983 $31 $54 $78 35.0% $1,984 $2,135 $34 $60 $85 37.5% $2,136 $2,288 $36 $63 $90 40.0% $2,289 $2,440 $38 $67 $95 42.5% $2,441 $2,593 $41 $72 $103 45.0% $2,594 $2,745 $43 $75 $108 47.5% $2,746 $2,898 $46 $81 $115 50.0% $2,899 $3,051 $48 $84 $120 52.5% $3,052 $3,203 $51 $89 $128 55.0% $3,204 $3,356 $53 $93 $133 57.5% $3,357 $3,508 $56 $98 $140 60.0% $3,509 $3,661 $58 $102 $145 85.0% $3,662 $5,186 $54 $95 $135

Page 4: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 4 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

5 10.0% $0 $708 $6 $11 $15 $20 12.5% $709 $885 $13 $23 $33 $42 15.0% $886 $1,062 $16 $28 $40 $52 17.5% $1,063 $1,239 $19 $33 $48 $62 20.0% $1,240 $1,415 $22 $39 $55 $72 22.5% $1,416 $1,592 $24 $42 $60 $78 25.0% $1,593 $1,769 $27 $47 $68 $88 27.5% $1,770 $1,946 $30 $53 $75 $98 30.0% $1,947 $2,123 $33 $58 $83 $107 32.5% $2,124 $2,300 $36 $63 $90 $117 35.0% $2,301 $2,477 $39 $68 $98 $127 37.5% $2,478 $2,654 $42 $74 $105 $137 40.0% $2,655 $2,831 $45 $79 $113 $146 42.5% $2,832 $3,008 $48 $84 $120 $156 45.0% $3,009 $3,185 $50 $88 $125 $163 47.5% $3,186 $3,362 $53 $93 $133 $172 50.0% $3,363 $3,539 $56 $98 $140 $182 52.5% $3,540 $3,716 $59 $103 $148 $192 55.0% $3,717 $3,892 $62 $109 $155 $202 57.5% $3,893 $4,069 $65 $114 $163 $211 60.0% $4,070 $4,246 $68 $119 $170 $221 85.0% $4,247 $6,016 $63 $110 $158 $205

Page 5: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 5 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

6 10.0% $0 $805 $7 $12 $18 $23 $28 12.5% $806 $1,007 $15 $26 $38 $49 $60 15.0% $1,008 $1,208 $18 $32 $45 $59 $72 17.5% $1,209 $1,409 $21 $37 $53 $68 $84 20.0% $1,410 $1,611 $25 $44 $63 $81 $100 22.5% $1,612 $1,812 $28 $49 $70 $91 $112 25.0% $1,813 $2,013 $31 $54 $78 $101 $124 27.5% $2,014 $2,215 $34 $60 $85 $111 $136 30.0% $2,216 $2,416 $38 $67 $95 $124 $152 32.5% $2,417 $2,617 $41 $72 $103 $133 $164 35.0% $2,618 $2,819 $44 $77 $110 $143 $176 37.5% $2,820 $3,020 $48 $84 $120 $156 $192 40.0% $3,021 $3,221 $51 $89 $128 $166 $204 42.5% $3,222 $3,423 $54 $95 $135 $176 $216 45.0% $3,424 $3,624 $57 $100 $143 $185 $228 47.5% $3,625 $3,825 $61 $107 $153 $198 $244 50.0% $3,826 $4,027 $64 $112 $160 $208 $256 52.5% $4,028 $4,228 $67 $117 $168 $218 $268 55.0% $4,229 $4,429 $70 $123 $175 $228 $280 57.5% $4,430 $4,631 $74 $130 $185 $241 $296 60.0% $4,632 $4,832 $77 $135 $193 $250 $308 85.0% $4,833 $6,845 $72 $126 $180 $234 $288

Page 6: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 6 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

7 10.0% $0 $824 $7 $12 $18 $23 $28 $33 12.5% $825 $1,030 $15 $26 $38 $49 $60 $71 15.0% $1,031 $1,235 $18 $32 $45 $59 $72 $86 17.5% $1,236 $1,441 $22 $39 $55 $72 $88 $105 20.0% $1,442 $1,647 $25 $44 $63 $81 $100 $119 22.5% $1,648 $1,853 $29 $51 $73 $94 $116 $138 25.0% $1,854 $2,059 $32 $56 $80 $104 $128 $152 27.5% $2,060 $2,265 $35 $61 $88 $114 $140 $166 30.0% $2,266 $2,471 $39 $68 $98 $127 $156 $185 32.5% $2,472 $2,677 $42 $74 $105 $137 $168 $200 35.0% $2,678 $2,883 $45 $79 $113 $146 $180 $214 37.5% $2,884 $3,089 $49 $86 $123 $159 $196 $233 40.0% $3,090 $3,295 $52 $91 $130 $169 $208 $247 42.5% $3,296 $3,500 $55 $96 $138 $179 $220 $261 45.0% $3,501 $3,706 $59 $103 $148 $192 $236 $280 47.5% $3,707 $3,912 $62 $109 $155 $202 $248 $295 50.0% $3,913 $4,118 $65 $114 $163 $211 $260 $309 52.5% $4,119 $4,324 $69 $121 $173 $224 $276 $328 55.0% $4,325 $4,530 $72 $126 $180 $234 $288 $342 57.5% $4,531 $4,736 $75 $131 $188 $244 $300 $356 60.0% $4,737 $4,942 $79 $138 $198 $257 $316 $375 85.0% $4,943 $7,001 $73 $128 $183 $237 $292 $347

Page 7: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 7 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

8 10.0% $0 $842 $7 $12 $18 $23 $28 $33 $39 12.5% $843 $1,052 $15 $26 $38 $49 $60 $71 $83 15.0% $1,053 $1,263 $19 $33 $48 $62 $76 $90 $105 17.5% $1,264 $1,473 $22 $39 $55 $72 $88 $105 $121 20.0% $1,474 $1,684 $26 $46 $65 $85 $104 $124 $143 22.5% $1,685 $1,894 $29 $51 $73 $94 $116 $138 $160 25.0% $1,895 $2,105 $33 $58 $83 $107 $132 $157 $182 27.5% $2,106 $2,315 $36 $63 $90 $117 $144 $171 $198 30.0% $2,316 $2,526 $39 $68 $98 $127 $156 $185 $215 32.5% $2,527 $2,736 $43 $75 $108 $140 $172 $204 $237 35.0% $2,737 $2,947 $46 $81 $115 $150 $184 $219 $253 37.5% $2,948 $3,157 $50 $88 $125 $163 $200 $238 $275 40.0% $3,158 $3,368 $53 $93 $133 $172 $212 $252 $292 42.5% $3,369 $3,578 $57 $100 $143 $185 $228 $271 $314 45.0% $3,579 $3,789 $60 $105 $150 $195 $240 $285 $330 47.5% $3,790 $3,999 $63 $110 $158 $205 $252 $299 $347 50.0% $4,000 $4,210 $67 $117 $168 $218 $268 $318 $369 52.5% $4,211 $4,420 $70 $123 $175 $228 $280 $333 $385 55.0% $4,421 $4,631 $74 $130 $185 $241 $296 $352 $407 57.5% $4,632 $4,841 $77 $135 $193 $250 $308 $366 $424 60.0% $4,842 $5,052 $81 $142 $203 $263 $324 $385 $446 85.0% $5,053 $7,156 $75 $131 $188 $244 $300 $356 $413

Page 8: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 8 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

9 10.0% $0 $860 $7 $12 $18 $23 $28 $33 $39 $44 12.5% $861 $1,075 $16 $28 $40 $52 $64 $76 $88 $100 15.0% $1,076 $1,290 $19 $33 $48 $62 $76 $90 $105 $119 17.5% $1,291 $1,505 $23 $40 $58 $75 $92 $109 $127 $144 20.0% $1,506 $1,720 $26 $46 $65 $85 $104 $124 $143 $163 22.5% $1,721 $1,936 $30 $53 $75 $98 $120 $143 $165 $188 25.0% $1,937 $2,151 $33 $58 $83 $107 $132 $157 $182 $206 27.5% $2,152 $2,366 $37 $65 $93 $120 $148 $176 $204 $231 30.0% $2,367 $2,581 $40 $70 $100 $130 $160 $190 $220 $250 32.5% $2,582 $2,796 $44 $77 $110 $143 $176 $209 $242 $275 35.0% $2,797 $3,011 $47 $82 $118 $153 $188 $223 $259 $294 37.5% $3,012 $3,226 $51 $89 $128 $166 $204 $242 $281 $319 40.0% $3,227 $3,441 $54 $95 $135 $176 $216 $257 $297 $338 42.5% $3,442 $3,656 $58 $102 $145 $189 $232 $276 $319 $363 45.0% $3,657 $3,871 $61 $107 $153 $198 $244 $290 $336 $381 47.5% $3,872 $4,086 $65 $114 $163 $211 $260 $309 $358 $406 50.0% $4,087 $4,301 $68 $119 $170 $221 $272 $323 $374 $425 52.5% $4,302 $4,516 $72 $126 $180 $234 $288 $342 $396 $450 55.0% $4,517 $4,731 $75 $131 $188 $244 $300 $356 $413 $469 57.5% $4,732 $4,946 $79 $138 $198 $257 $316 $375 $435 $494 60.0% $4,947 $5,161 $82 $144 $205 $267 $328 $390 $451 $513 85.0% $5,162 $7,312 $77 $135 $193 $250 $308 $366 $424 $481

Page 9: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 9 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

10 10.0% $0 $879 $7 $12 $18 $23 $28 $33 $39 $44 $49 12.5% $880 $1,098 $16 $28 $40 $52 $64 $76 $88 $100 $112 15.0% $1,099 $1,318 $20 $35 $50 $65 $80 $95 $110 $125 $140 17.5% $1,319 $1,537 $23 $40 $58 $75 $92 $109 $127 $144 $161 20.0% $1,538 $1,757 $27 $47 $68 $88 $108 $128 $149 $169 $189 22.5% $1,758 $1,977 $30 $53 $75 $98 $120 $143 $165 $188 $210 25.0% $1,978 $2,196 $34 $60 $85 $111 $136 $162 $187 $213 $238 27.5% $2,197 $2,416 $38 $67 $95 $124 $152 $181 $209 $238 $266 30.0% $2,417 $2,636 $41 $72 $103 $133 $164 $195 $226 $256 $287 32.5% $2,637 $2,855 $45 $79 $113 $146 $180 $214 $248 $281 $315 35.0% $2,856 $3,075 $48 $84 $120 $156 $192 $228 $264 $300 $336 37.5% $3,076 $3,295 $52 $91 $130 $169 $208 $247 $286 $325 $364 40.0% $3,296 $3,514 $55 $96 $138 $179 $220 $261 $303 $344 $385 42.5% $3,515 $3,734 $59 $103 $148 $192 $236 $280 $325 $369 $413 45.0% $3,735 $3,953 $63 $110 $158 $205 $252 $299 $347 $394 $441 47.5% $3,954 $4,173 $66 $116 $165 $215 $264 $314 $363 $413 $462 50.0% $4,174 $4,393 $70 $123 $175 $228 $280 $333 $385 $438 $490 52.5% $4,394 $4,612 $73 $128 $183 $237 $292 $347 $402 $456 $511 55.0% $4,613 $4,832 $77 $135 $193 $250 $308 $366 $424 $481 $539 57.5% $4,833 $5,052 $80 $140 $200 $260 $320 $380 $440 $500 $560 60.0% $5,053 $5,271 $84 $147 $210 $273 $336 $399 $462 $525 $588 85.0% $5,272 $7,468 $78 $137 $195 $254 $312 $371 $429 $488 $546

Page 10: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 10 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

11 10.0% $0 $897 $7 $12 $18 $23 $28 $33 $39 $44 $49 $54 12.5% $898 $1,121 $16 $28 $40 $52 $64 $76 $88 $100 $112 $124 15.0% $1,122 $1,345 $20 $35 $50 $65 $80 $95 $110 $125 $140 $155 17.5% $1,346 $1,569 $24 $42 $60 $78 $96 $114 $132 $150 $168 $186 20.0% $1,570 $1,794 $27 $47 $68 $88 $108 $128 $149 $169 $189 $209 22.5% $1,795 $2,018 $31 $54 $78 $101 $124 $147 $171 $194 $217 $240 25.0% $2,019 $2,242 $35 $61 $88 $114 $140 $166 $193 $219 $245 $271 27.5% $2,243 $2,466 $38 $67 $95 $124 $152 $181 $209 $238 $266 $295 30.0% $2,467 $2,691 $42 $74 $105 $137 $168 $200 $231 $263 $294 $326 32.5% $2,692 $2,915 $46 $81 $115 $150 $184 $219 $253 $288 $322 $357 35.0% $2,916 $3,139 $49 $86 $123 $159 $196 $233 $270 $306 $343 $380 37.5% $3,140 $3,363 $53 $93 $133 $172 $212 $252 $292 $331 $371 $411 40.0% $3,364 $3,587 $57 $100 $143 $185 $228 $271 $314 $356 $399 $442 42.5% $3,588 $3,812 $60 $105 $150 $195 $240 $285 $330 $375 $420 $465 45.0% $3,813 $4,036 $64 $112 $160 $208 $256 $304 $352 $400 $448 $496 47.5% $4,037 $4,260 $68 $119 $170 $221 $272 $323 $374 $425 $476 $527 50.0% $4,261 $4,484 $71 $124 $178 $231 $284 $337 $391 $444 $497 $550 52.5% $4,485 $4,708 $75 $131 $188 $244 $300 $356 $413 $469 $525 $581 55.0% $4,709 $4,933 $78 $137 $195 $254 $312 $371 $429 $488 $546 $605 57.5% $4,934 $5,157 $82 $144 $205 $267 $328 $390 $451 $513 $574 $636 60.0% $5,158 $5,381 $86 $151 $215 $280 $344 $409 $473 $538 $602 $667 85.0% $5,382 $7,623 $80 $140 $200 $260 $320 $380 $440 $500 $560 $620

Page 11: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 11 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

12 10.0% $0 $915 $7 $12 $18 $23 $28 $33 $39 $44 $49 $54 12.5% $916 $1,144 $17 $30 $43 $55 $68 $81 $94 $106 $119 $132 15.0% $1,145 $1,373 $21 $37 $53 $68 $84 $100 $116 $131 $147 $163 17.5% $1,374 $1,602 $24 $42 $60 $78 $96 $114 $132 $150 $168 $186 20.0% $1,603 $1,830 $28 $49 $70 $91 $112 $133 $154 $175 $196 $217 22.5% $1,831 $2,059 $32 $56 $80 $104 $128 $152 $176 $200 $224 $248 25.0% $2,060 $2,288 $35 $61 $88 $114 $140 $166 $193 $219 $245 $271 27.5% $2,289 $2,517 $39 $68 $98 $127 $156 $185 $215 $244 $273 $302 30.0% $2,518 $2,745 $43 $75 $108 $140 $172 $204 $237 $269 $301 $333 32.5% $2,746 $2,974 $47 $82 $118 $153 $188 $223 $259 $294 $329 $364 35.0% $2,975 $3,203 $50 $88 $125 $163 $200 $238 $275 $313 $350 $388 37.5% $3,204 $3,432 $54 $95 $135 $176 $216 $257 $297 $338 $378 $419 40.0% $3,433 $3,661 $58 $102 $145 $189 $232 $276 $319 $363 $406 $450 42.5% $3,662 $3,889 $61 $107 $153 $198 $244 $290 $336 $381 $427 $473 45.0% $3,890 $4,118 $65 $114 $163 $211 $260 $309 $358 $406 $455 $504 47.5% $4,119 $4,347 $69 $121 $173 $224 $276 $328 $380 $431 $483 $535 50.0% $4,348 $4,576 $73 $128 $183 $237 $292 $347 $402 $456 $511 $566 52.5% $4,577 $4,805 $76 $133 $190 $247 $304 $361 $418 $475 $532 $589 55.0% $4,806 $5,033 $80 $140 $200 $260 $320 $380 $440 $500 $560 $620 57.5% $5,034 $5,262 $84 $147 $210 $273 $336 $399 $462 $525 $588 $651 60.0% $5,263 $5,491 $88 $154 $220 $286 $352 $418 $484 $550 $616 $682 85.0% $5,492 $7,779 $81 $142 $203 $263 $324 $385 $446 $506 $567 $628

Page 12: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 12 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

13 10.0% $0 $933 $8 $14 $20 $26 $32 $38 $44 $50 $56 $62 12.5% $934 $1,167 $17 $30 $43 $55 $68 $81 $94 $106 $119 $132 15.0% $1,168 $1,400 $21 $37 $53 $68 $84 $100 $116 $131 $147 $163 17.5% $1,401 $1,634 $25 $44 $63 $81 $100 $119 $138 $156 $175 $194 20.0% $1,635 $1,867 $29 $51 $73 $94 $116 $138 $160 $181 $203 $225 22.5% $1,868 $2,100 $32 $56 $80 $104 $128 $152 $176 $200 $224 $248 25.0% $2,101 $2,334 $36 $63 $90 $117 $144 $171 $198 $225 $252 $279 27.5% $2,335 $2,567 $40 $70 $100 $130 $160 $190 $220 $250 $280 $310 30.0% $2,568 $2,800 $44 $77 $110 $143 $176 $209 $242 $275 $308 $341 32.5% $2,801 $3,034 $47 $82 $118 $153 $188 $223 $259 $294 $329 $364 35.0% $3,035 $3,267 $51 $89 $128 $166 $204 $242 $281 $319 $357 $395 37.5% $3,268 $3,500 $55 $96 $138 $179 $220 $261 $303 $344 $385 $426 40.0% $3,501 $3,734 $59 $103 $148 $192 $236 $280 $325 $369 $413 $457 42.5% $3,735 $3,967 $63 $110 $158 $205 $252 $299 $347 $394 $441 $488 45.0% $3,968 $4,201 $66 $116 $165 $215 $264 $314 $363 $413 $462 $512 47.5% $4,202 $4,434 $70 $123 $175 $228 $280 $333 $385 $438 $490 $543 50.0% $4,435 $4,667 $74 $130 $185 $241 $296 $352 $407 $463 $518 $574 52.5% $4,668 $4,901 $78 $137 $195 $254 $312 $371 $429 $488 $546 $605 55.0% $4,902 $5,134 $82 $144 $205 $267 $328 $390 $451 $513 $574 $636 57.5% $5,135 $5,367 $85 $149 $213 $276 $340 $404 $468 $531 $595 $659 60.0% $5,368 $5,601 $89 $156 $223 $289 $356 $423 $490 $556 $623 $690 85.0% $5,602 $7,934 $83 $145 $208 $270 $332 $394 $457 $519 $581 $643

Page 13: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 13 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

14 10.0% $0 $952 $8 $14 $20 $26 $32 $38 $44 $50 $56 $62 12.5% $953 $1,190 $17 $30 $43 $55 $68 $81 $94 $106 $119 $132 15.0% $1,191 $1,428 $21 $37 $53 $68 $84 $100 $116 $131 $147 $163 17.5% $1,429 $1,666 $25 $44 $63 $81 $100 $119 $138 $156 $175 $194 20.0% $1,667 $1,904 $29 $51 $73 $94 $116 $138 $160 $181 $203 $225 22.5% $1,905 $2,141 $33 $58 $83 $107 $132 $157 $182 $206 $231 $256 25.0% $2,142 $2,379 $37 $65 $93 $120 $148 $176 $204 $231 $259 $287 27.5% $2,380 $2,617 $41 $72 $103 $133 $164 $195 $226 $256 $287 $318 30.0% $2,618 $2,855 $45 $79 $113 $146 $180 $214 $248 $281 $315 $349 32.5% $2,856 $3,093 $48 $84 $120 $156 $192 $228 $264 $300 $336 $372 35.0% $3,094 $3,331 $52 $91 $130 $169 $208 $247 $286 $325 $364 $403 37.5% $3,332 $3,569 $56 $98 $140 $182 $224 $266 $308 $350 $392 $434 40.0% $3,570 $3,807 $60 $105 $150 $195 $240 $285 $330 $375 $420 $465 42.5% $3,808 $4,045 $64 $112 $160 $208 $256 $304 $352 $400 $448 $496 45.0% $4,046 $4,283 $68 $119 $170 $221 $272 $323 $374 $425 $476 $527 47.5% $4,284 $4,521 $72 $126 $180 $234 $288 $342 $396 $450 $504 $558 50.0% $4,522 $4,759 $76 $133 $190 $247 $304 $361 $418 $475 $532 $589 52.5% $4,760 $4,997 $79 $138 $198 $257 $316 $375 $435 $494 $553 $612 55.0% $4,998 $5,235 $83 $145 $208 $270 $332 $394 $457 $519 $581 $643 57.5% $5,236 $5,473 $87 $152 $218 $283 $348 $413 $479 $544 $609 $674 60.0% $5,474 $5,711 $91 $159 $228 $296 $364 $432 $501 $569 $637 $705 85.0% $5,712 $8,090 $85 $149 $213 $276 $340 $404 $468 $531 $595 $659

Page 14: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 14 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

15 10.0% $0 $970 $8 $14 $20 $26 $32 $38 $44 $50 $56 $62 12.5% $971 $1,213 $18 $32 $45 $59 $72 $86 $99 $113 $126 $140 15.0% $1,214 $1,455 $22 $39 $55 $72 $88 $105 $121 $138 $154 $171 17.5% $1,456 $1,698 $26 $46 $65 $85 $104 $124 $143 $163 $182 $202 20.0% $1,699 $1,940 $30 $53 $75 $98 $120 $143 $165 $188 $210 $233 22.5% $1,941 $2,183 $34 $60 $85 $111 $136 $162 $187 $213 $238 $264 25.0% $2,184 $2,425 $38 $67 $95 $124 $152 $181 $209 $238 $266 $295 27.5% $2,426 $2,668 $41 $72 $103 $133 $164 $195 $226 $256 $287 $318 30.0% $2,669 $2,910 $45 $79 $113 $146 $180 $214 $248 $281 $315 $349 32.5% $2,911 $3,153 $49 $86 $123 $159 $196 $233 $270 $306 $343 $380 35.0% $3,154 $3,395 $53 $93 $133 $172 $212 $252 $292 $331 $371 $411 37.5% $3,396 $3,638 $57 $100 $143 $185 $228 $271 $314 $356 $399 $442 40.0% $3,639 $3,880 $61 $107 $153 $198 $244 $290 $336 $381 $427 $473 42.5% $3,881 $4,123 $65 $114 $163 $211 $260 $309 $358 $406 $455 $504 45.0% $4,124 $4,365 $69 $121 $173 $224 $276 $328 $380 $431 $483 $535 47.5% $4,366 $4,608 $73 $128 $183 $237 $292 $347 $402 $456 $511 $566 50.0% $4,609 $4,850 $77 $135 $193 $250 $308 $366 $424 $481 $539 $597 52.5% $4,851 $5,093 $81 $142 $203 $263 $324 $385 $446 $506 $567 $628 55.0% $5,094 $5,335 $85 $149 $213 $276 $340 $404 $468 $531 $595 $659 57.5% $5,336 $5,578 $89 $156 $223 $289 $356 $423 $490 $556 $623 $690 60.0% $5,579 $5,820 $93 $163 $233 $302 $372 $442 $512 $581 $651 $721 85.0% $5,821 $8,246 $86 $151 $215 $280 $344 $409 $473 $538 $602 $667

Page 15: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 15 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

16 10.0% $0 $988 $8 $14 $20 $26 $32 $38 $44 $50 $56 $62 12.5% $989 $1,235 $18 $32 $45 $59 $72 $86 $99 $113 $126 $140 15.0% $1,236 $1,483 $22 $39 $55 $72 $88 $105 $121 $138 $154 $171 17.5% $1,484 $1,730 $26 $46 $65 $85 $104 $124 $143 $163 $182 $202 20.0% $1,731 $1,977 $30 $53 $75 $98 $120 $143 $165 $188 $210 $233 22.5% $1,978 $2,224 $34 $60 $85 $111 $136 $162 $187 $213 $238 $264 25.0% $2,225 $2,471 $38 $67 $95 $124 $152 $181 $209 $238 $266 $295 27.5% $2,472 $2,718 $42 $74 $105 $137 $168 $200 $231 $263 $294 $326 30.0% $2,719 $2,965 $46 $81 $115 $150 $184 $219 $253 $288 $322 $357 32.5% $2,966 $3,212 $50 $88 $125 $163 $200 $238 $275 $313 $350 $388 35.0% $3,213 $3,459 $54 $95 $135 $176 $216 $257 $297 $338 $378 $419 37.5% $3,460 $3,706 $58 $102 $145 $189 $232 $276 $319 $363 $406 $450 40.0% $3,707 $3,953 $62 $109 $155 $202 $248 $295 $341 $388 $434 $481 42.5% $3,954 $4,201 $66 $116 $165 $215 $264 $314 $363 $413 $462 $512 45.0% $4,202 $4,448 $70 $123 $175 $228 $280 $333 $385 $438 $490 $543 47.5% $4,449 $4,695 $74 $130 $185 $241 $296 $352 $407 $463 $518 $574 50.0% $4,696 $4,942 $78 $137 $195 $254 $312 $371 $429 $488 $546 $605 52.5% $4,943 $5,189 $82 $144 $205 $267 $328 $390 $451 $513 $574 $636 55.0% $5,190 $5,436 $86 $151 $215 $280 $344 $409 $473 $538 $602 $667 57.5% $5,437 $5,683 $91 $159 $228 $296 $364 $432 $501 $569 $637 $705 60.0% $5,684 $5,930 $95 $166 $238 $309 $380 $451 $523 $594 $665 $736 85.0% $5,931 $8,401 $88 $154 $220 $286 $352 $418 $484 $550 $616 $682

Page 16: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 16 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

17 10.0% $0 $1,007 $8 $14 $20 $26 $32 $38 $44 $50 $56 $62 12.5% $1,008 $1,258 $18 $32 $45 $59 $72 $86 $99 $113 $126 $140 15.0% $1,259 $1,510 $23 $40 $58 $75 $92 $109 $127 $144 $161 $178 17.5% $1,511 $1,762 $27 $47 $68 $88 $108 $128 $149 $169 $189 $209 20.0% $1,763 $2,013 $31 $54 $78 $101 $124 $147 $171 $194 $217 $240 22.5% $2,014 $2,265 $35 $61 $88 $114 $140 $166 $193 $219 $245 $271 25.0% $2,266 $2,517 $39 $68 $98 $127 $156 $185 $215 $244 $273 $302 27.5% $2,518 $2,768 $43 $75 $108 $140 $172 $204 $237 $269 $301 $333 30.0% $2,769 $3,020 $47 $82 $118 $153 $188 $223 $259 $294 $329 $364 32.5% $3,021 $3,272 $51 $89 $128 $166 $204 $242 $281 $319 $357 $395 35.0% $3,273 $3,523 $55 $96 $138 $179 $220 $261 $303 $344 $385 $426 37.5% $3,524 $3,775 $59 $103 $148 $192 $236 $280 $325 $369 $413 $457 40.0% $3,776 $4,027 $64 $112 $160 $208 $256 $304 $352 $400 $448 $496 42.5% $4,028 $4,278 $68 $119 $170 $221 $272 $323 $374 $425 $476 $527 45.0% $4,279 $4,530 $72 $126 $180 $234 $288 $342 $396 $450 $504 $558 47.5% $4,531 $4,782 $76 $133 $190 $247 $304 $361 $418 $475 $532 $589 50.0% $4,783 $5,033 $80 $140 $200 $260 $320 $380 $440 $500 $560 $620 52.5% $5,034 $5,285 $84 $147 $210 $273 $336 $399 $462 $525 $588 $651 55.0% $5,286 $5,537 $88 $154 $220 $286 $352 $418 $484 $550 $616 $682 57.5% $5,538 $5,788 $92 $161 $230 $299 $368 $437 $506 $575 $644 $713 60.0% $5,789 $6,040 $96 $168 $240 $312 $384 $456 $528 $600 $672 $744 85.0% $6,041 $8,557 $90 $158 $225 $293 $360 $428 $495 $563 $630 $698

Page 17: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 17 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

18 10.0% $0 $1,025 $8 $14 $20 $26 $32 $38 $44 $50 $56 $62 12.5% $1,026 $1,281 $19 $33 $48 $62 $76 $90 $105 $119 $133 $147 15.0% $1,282 $1,537 $23 $40 $58 $75 $92 $109 $127 $144 $161 $178 17.5% $1,538 $1,794 $27 $47 $68 $88 $108 $128 $149 $169 $189 $209 20.0% $1,795 $2,050 $31 $54 $78 $101 $124 $147 $171 $194 $217 $240 22.5% $2,051 $2,306 $35 $61 $88 $114 $140 $166 $193 $219 $245 $271 25.0% $2,307 $2,562 $40 $70 $100 $130 $160 $190 $220 $250 $280 $310 27.5% $2,563 $2,819 $44 $77 $110 $143 $176 $209 $242 $275 $308 $341 30.0% $2,820 $3,075 $48 $84 $120 $156 $192 $228 $264 $300 $336 $372 32.5% $3,076 $3,331 $52 $91 $130 $169 $208 $247 $286 $325 $364 $403 35.0% $3,332 $3,587 $56 $98 $140 $182 $224 $266 $308 $350 $392 $434 37.5% $3,588 $3,844 $60 $105 $150 $195 $240 $285 $330 $375 $420 $465 40.0% $3,845 $4,100 $65 $114 $163 $211 $260 $309 $358 $406 $455 $504 42.5% $4,101 $4,356 $69 $121 $173 $224 $276 $328 $380 $431 $483 $535 45.0% $4,357 $4,612 $73 $128 $183 $237 $292 $347 $402 $456 $511 $566 47.5% $4,613 $4,869 $77 $135 $193 $250 $308 $366 $424 $481 $539 $597 50.0% $4,870 $5,125 $81 $142 $203 $263 $324 $385 $446 $506 $567 $628 52.5% $5,126 $5,381 $86 $151 $215 $280 $344 $409 $473 $538 $602 $667 55.0% $5,382 $5,637 $90 $158 $225 $293 $360 $428 $495 $563 $630 $698 57.5% $5,638 $5,894 $94 $165 $235 $306 $376 $447 $517 $588 $658 $729 60.0% $5,895 $6,150 $98 $172 $245 $319 $392 $466 $539 $613 $686 $760 85.0% $6,151 $8,712 $91 $159 $228 $296 $364 $432 $501 $569 $637 $705

Page 18: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 18 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

19 10.0% $0 $1,043 $8 $14 $20 $26 $32 $38 $44 $50 $56 $62 12.5% $1,044 $1,304 $19 $33 $48 $62 $76 $90 $105 $119 $133 $147 15.0% $1,305 $1,565 $23 $40 $58 $75 $92 $109 $127 $144 $161 $178 17.5% $1,566 $1,826 $28 $49 $70 $91 $112 $133 $154 $175 $196 $217 20.0% $1,827 $2,087 $32 $56 $80 $104 $128 $152 $176 $200 $224 $248 22.5% $2,088 $2,347 $36 $63 $90 $117 $144 $171 $198 $225 $252 $279 25.0% $2,348 $2,608 $40 $70 $100 $130 $160 $190 $220 $250 $280 $310 27.5% $2,609 $2,869 $45 $79 $113 $146 $180 $214 $248 $281 $315 $349 30.0% $2,870 $3,130 $49 $86 $123 $159 $196 $233 $270 $306 $343 $380 32.5% $3,131 $3,391 $53 $93 $133 $172 $212 $252 $292 $331 $371 $411 35.0% $3,392 $3,651 $57 $100 $143 $185 $228 $271 $314 $356 $399 $442 37.5% $3,652 $3,912 $62 $109 $155 $202 $248 $295 $341 $388 $434 $481 40.0% $3,913 $4,173 $66 $116 $165 $215 $264 $314 $363 $413 $462 $512 42.5% $4,174 $4,434 $70 $123 $175 $228 $280 $333 $385 $438 $490 $543 45.0% $4,435 $4,695 $74 $130 $185 $241 $296 $352 $407 $463 $518 $574 47.5% $4,696 $4,956 $79 $138 $198 $257 $316 $375 $435 $494 $553 $612 50.0% $4,957 $5,216 $83 $145 $208 $270 $332 $394 $457 $519 $581 $643 52.5% $5,217 $5,477 $87 $152 $218 $283 $348 $413 $479 $544 $609 $674 55.0% $5,478 $5,738 $91 $159 $228 $296 $364 $432 $501 $569 $637 $705 57.5% $5,739 $5,999 $96 $168 $240 $312 $384 $456 $528 $600 $672 $744 60.0% $6,000 $6,260 $100 $175 $250 $325 $400 $475 $550 $625 $700 $775 85.0% $6,261 $8,868 $93 $163 $233 $302 $372 $442 $512 $581 $651 $721

Page 19: Collateral Document Topic Child Care Certificate Program ......11.10-19.01 • Parent Co-Pays listed in the table are based on full time care • Parent Co-Pays will be half of the

Topic: Child Care Certificate Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2019-2020

Date of Last Review: 10/03/2019 Effective Date: 10/03/2019 Supersedes: CCC Program Income Eligibility Limits and Parent Co-Pay Fee Table Fiscal Year 2018-2019 RDA SW25 HS-3169 (Rev. 06-19) Page 19 of 19

HH % of SMI

Family Income Lower Limit

Family Income Upper Limit

Fee Amt. for 1

Fee Amt. for 2

Fee Amt. for 3

Fee Amt. for 4

Fee Amt. for 5

Fee Amt. for 6

Fee Amt. for 7

Fee Amt. for 8

Fee Amt. for 9

Fee Amt. for 10

20 10.0% $0 $1,062 $9 $16 $23 $29 $36 $43 $50 $56 $63 $70 12.5% $1,063 $1,327 $19 $33 $48 $62 $76 $90 $105 $119 $133 $147 15.0% $1,328 $1,592 $24 $42 $60 $78 $96 $114 $132 $150 $168 $186 17.5% $1,593 $1,858 $28 $49 $70 $91 $112 $133 $154 $175 $196 $217 20.0% $1,859 $2,123 $32 $56 $80 $104 $128 $152 $176 $200 $224 $248 22.5% $2,124 $2,389 $37 $65 $93 $120 $148 $176 $204 $231 $259 $287 25.0% $2,390 $2,654 $41 $72 $103 $133 $164 $195 $226 $256 $287 $318 27.5% $2,655 $2,919 $45 $79 $113 $146 $180 $214 $248 $281 $315 $349 30.0% $2,920 $3,185 $50 $88 $125 $163 $200 $238 $275 $313 $350 $388 32.5% $3,186 $3,450 $54 $95 $135 $176 $216 $257 $297 $338 $378 $419 35.0% $3,451 $3,716 $58 $102 $145 $189 $232 $276 $319 $363 $406 $450 37.5% $3,717 $3,981 $63 $110 $158 $205 $252 $299 $347 $394 $441 $488 40.0% $3,982 $4,246 $67 $117 $168 $218 $268 $318 $369 $419 $469 $519 42.5% $4,247 $4,512 $71 $124 $178 $231 $284 $337 $391 $444 $497 $550 45.0% $4,513 $4,777 $76 $133 $190 $247 $304 $361 $418 $475 $532 $589 47.5% $4,778 $5,042 $80 $140 $200 $260 $320 $380 $440 $500 $560 $620 50.0% $5,043 $5,308 $84 $147 $210 $273 $336 $399 $462 $525 $588 $651 52.5% $5,309 $5,573 $89 $156 $223 $289 $356 $423 $490 $556 $623 $690 55.0% $5,574 $5,839 $93 $163 $233 $302 $372 $442 $512 $581 $651 $721 57.5% $5,840 $6,104 $97 $170 $243 $315 $388 $461 $534 $606 $679 $752 60.0% $6,105 $6,369 $102 $179 $255 $332 $408 $485 $561 $638 $714 $791 85.0% $6,370 $9,023 $95 $166 $238 $309 $380 $451 $523 $594 $665 $736