State of Alaska Department of Health Division of Public Assistance - Child Care Program Office Child Care Assistance Program Rate Schedule (Revised December 1, 2021) Rate Region Age Group Licen F/T Month I sed or Mi P/T Month litary Center F/T Day I P/T Day Licensed Group Home P/T F/T P/T F/T Month I Month Day I Day Lice F/T Month I nsed or M P/T Month ilitary Ho F/T Day I me P/T Day Approve F/T Month I d Relative P/T Month or In-H F/T Day ome Care I P/T Day Infant $1208 $591 $73 $36 $1208 $591 $73 $36 $900 $482 $55 $29 $673 $392 $40 $23 Aleutians East Borough Toddler Preschool $1107 $886 $551 $537 $67 $54 $33 $33 $1107 $551 $67 $33 $886 $537 $54 $33 $800 $776 $516 $466 $48 $47 $31 $28 $608 $575 $439 $334 $36 $35 $26 $20 School Age Infant $914 $1208 $450 $591 $55 $73 $27 $36 $914 $450 $55 $27 $1208 $591 $72 $36 $776 $900 $432 $482 $47 $55 $26 $29 $575 $673 $334 $392 $35 $40 $20 $23 Aleutians West Census Toddler $1107 $551 $67 $33 $1107 $551 $67 $33 $800 $516 $48 $31 $608 $439 $36 $26 Area Preschool $886 $537 $54 $33 $886 $537 $54 $33 $776 $466 $47 $28 $575 $334 $35 $20 Municipality of Anchorage School Age $914 Infant $1135 Toddler $1148 Preschool $1019 School Age $884 Infant $1208 $450 $660 $717 $574 $450 $591 $55 $69 $70 $62 $54 $73 $27 $40 $43 $35 $27 $36 $914 $450 $55 $27 The Municipality of Anchorage does not have licensed group homes as a provider type. $1208 $591 $73 $36 $776 $900 $800 $700 $650 $900 $432 $575 $550 $441 $406 $482 $47 $55 $48 $42 $39 $55 $26 $35 $33 $27 $25 $29 $575 $521 $492 $440 $430 $673 $334 $322 $359 $264 $258 $392 $35 $31 $30 $26 $26 $40 $20 $19 $22 $16 $15 $23 Bethel Census Area Toddler $1107 Preschool $886 $551 $537 $67 $54 $33 $33 $1107 $551 $67 $33 $886 $537 $54 $33 $800 $776 $516 $466 $48 $47 $31 $28 $608 $575 $439 $334 $36 $35 $26 $20 School Age $914 Infant $1208 $450 $591 $55 $73 $27 $36 $914 $450 $55 $27 $1208 $591 $73 $36 $776 $900 $432 $482 $47 $55 $26 $29 $575 $673 $334 $392 $35 $40 $20 $23 Bristol Bay Borough Toddler $1107 Preschool $886 $551 $537 $67 $54 $33 $33 $1107 $551 $67 $33 $886 $537 $54 $33 $800 $776 $516 $466 $48 $47 $31 $28 $608 $575 $439 $334 $36 $35 $26 $20 School Age $914 Infant $1095 $450 $650 $55 $66 $27 $39 $914 $450 $55 $27 $1095 $650 $66 $39 $776 $900 $432 $475 $47 $55 $26 $29 $575 $521 $334 $322 $35 $31 $20 $19 Denali Borough Toddler $976 Preschool $900 $625 $676 $59 $55 $38 $41 $976 $625 $59 $38 $900 $676 $55 $41 $918 $770 $550 $462 $56 $47 $33 $28 $492 $440 $359 $264 $30 $26 $22 $16 School Age $750 Infant $1208 $488 $591 $45 $73 $30 $36 $750 $488 $45 $30 $1208 $591 $73 $36 $600 $900 $353 $482 $36 $55 $21 $29 $430 $673 $258 $392 $26 $40 $15 $23 Dillingham Census Area Toddler $1107 Preschool $975 $551 $537 $67 $59 $33 $33 $1107 $551 $67 $33 $975 $537 $59 $33 $800 $776 $516 $466 $48 $47 $31 $28 $608 $575 $439 $334 $36 $35 $26 $20 School Age $914 Infant $1342 $450 $650 $55 $81 $27 $39 $914 $450 $55 $27 $1342 $650 $81 $39 $776 $976 $432 $475 $47 $59 $26 $29 $575 $521 $334 $322 $35 $31 $20 $19 Fairbanks North Star Toddler $1100 $600 $67 $36 $1100 $600 $67 $36 $918 $550 $56 $33 $492 $359 $30 $22 Borough Preschool $900 $702 $55 $43 $900 $702 $55 $43 $770 $462 $47 $28 $440 $264 $26 $16 School Age $750 Infant $1162 $425 $641 $45 $70 $26 $39 $750 $425 $45 $26 $1162 $641 $70 $39 $728 $900 $328 $482 $44 $55 $20 $29 $430 $523 $258 $322 $26 $31 $15 $19 Haines Borough Toddler $1004 Preschool $884 $616 $536 $61 $54 $37 $32 $1004 $616 $61 $37 $884 $536 $54 $32 $900 $905 $530 $446 $55 $55 $32 $27 $492 $450 $365 $275 $30 $27 $22 $17 School Age $1002 $375 $61 $23 $1002 $375 $61 $23 $652 $473 $40 $29 $450 $275 $27 $17 Infant: Birth through 12 months Toddler: 13 months through 35 months Preschool Age: 36 months through 59 months School Age: 5 years through 13 years' F/T month (Full month) = 17 through 23 days of care, that includes at least one full day, during a calendar month; P/T month (Part month)= fewer than 17 days of care in any combination of part or full days in a month, or 17 through 23 part days of care during a calendar month; F/T day (Full day)= 5 hours and 1 minute of care and up to and including 10 hours of care in a day; P/T day (Part day)= up to and including 5 hours of care in a day. Rate Regions: http://live.laborstats.alaska.gov/cen/maps/state/current/ AlaskaBorCA.pdf * For information on Child Care Assistance Program eligibility, please see 7 AAC 41.350 of the Alaska Administrative Code.

State of Alaska Department of Health Division of Public Assistance - Child Care Program Office Child Care Assistance Program Rate Schedule (Revised December 2021) Rate Region Age Group Licen F/T Month I sed or Mi P/T Month litary Center F/T Day I P/T Day Lic F/T Month I ensed Gr P/T Month oup Home F/T Day I P/T Day Lice F/T Month I nsed or M P/T Month ilitary Ho F/T Day I me P/T Day Approve F/T Month I d Relative P/T Month or In-H F/T Day ome Care I P/T Day Infant $1162 $750 $70 $45 $1162 $750 $70 $45 $900 $482 $55 $29 $523 $322 $31 $19 Hoonah-Angoon Census Toddler $1004 $750 $61 $45 $1004 $750 $61 $45 $900 $530 $55 $32 $492 $365 $30 $22 Area Preschool $884 $545 $54 $33 $884 $545 $54 $33 $743 $446 $45 $27 $450 $275 $27 $17 School Age Infant $1002 $1205 $468 $752 $61 $73 $28 $46 $1002 $1205 $468 $752 $61 $73 $28 $46 $652 $900 $392 $482 $40 $55 $24 $29 $450 $523 $275 $322 $27 $31 $17 $19 City and Borough of Toddler $1114 $666 $68 $40 $1114 $666 $68 $40 $900 $493 $55 $30 $492 $365 $30 $22 Juneau Preschool $1071 $536 $65 $32 $1071 $536 $65 $32 $1000 $513 $61 $31 $450 $275 $27 $17 School Age Infant $1002 $993 $475 $649 $61 $60 $29 $39 $1002 $993 $475 $649 $61 $60 $29 $39 $652 $834 $392 $552 $40 $51 $24 $33 $450 $503 $275 $314 $27 $30 $17 $19 Kenai Peninsula Borough Toddler Preschool $900 $750 $707 $550 $55 $45 $43 $33 $900 $750 $707 $550 $55 $45 $43 $33 $800 $690 $550 $545 $48 $42 $33 $33 $500 $500 $365 $293 $30 $30 $22 $18 School Age Infant $758 $840 $542 $494 $46 $51 $33 $30 $758 $840 $542 $494 $46 $51 $33 $30 $624 $900 $400 $482 $38 $55 $24 $29 $500 $523 $293 $322 $30 $31 $18 $19 Ketchikan Gateway Toddler $750 $616 $45 $37 $750 $616 $45 $37 $900 $530 $55 $32 $492 $365 $30 $22 Borough Preschool $650 $379 $39 $23 $650 $379 $39 $23 $819 $446 $50 $27 $450 $275 $27 $17 School Age Infant $575 $1000 $350 $600 $35 $61 $21 $36 $575 $1000 $350 $600 $35 $61 $21 $36 $743 $900 $392 $501 $45 $55 $24 $30 $450 $503 $275 $314 $27 $30 $17 $19 Kodiak Island Borough Toddler Preschool $975 $725 $437 $589 $59 $44 $26 $36 $975 $725 $437 $589 $59 $44 $26 $36 $744 $697 $480 $448 $45 $42 $29 $27 $500 $500 $365 $293 $30 $30 $22 $18 School Age Infant $674 $1208 $450 $591 $41 $73 $27 $36 $674 $1208 $450 $591 $41 $73 $27 $36 $611 $900 $387 $482 $37 $55 $23 $29 $500 $673 $293 $392 $30 $40 $18 $23 Lake and Peninsula Toddler $1107 $551 $67 $33 $1107 $551 $67 $33 $800 $516 $48 $31 $608 $439 $36 $26 Borough Preschool $886 $537 $54 $33 $886 $537 $54 $33 $776 $466 $47 $28 $575 $334 $35 $20 School Age Infant $914 $805 $450 $500 $55 $49 $27 $30 $914 $805 $450 $500 $55 $49 $27 $30 $776 $873 $432 $524 $47 $53 $26 $32 $575 $521 $334 $322 $35 $31 $20 $19 Matanuska-Susitna Toddler $760 $477 $46 $29 $760 $477 $46 $29 $744 $402 $45 $24 $492 $359 $30 $22 Borough Preschool $706 $445 $43 $27 $706 $445 $43 $27 $693 $426 $42 $26 $440 $264 $26 $16 School Age Infant $702 $1073 $438 $591 $43 $65 $27 $36 $702 $1073 $438 $591 $43 $65 $27 $36 $652 $900 $400 $482 $40 $55 $24 $29 $430 $654 $258 $363 $26 $39 $15 $22 Nome Census Area Toddler Preschool $995 $905 $562 $545 $60 $55 $34 $33 $995 $905 $562 $545 $60 $55 $34 $33 $800 $838 $516 $452 $48 $51 $31 $27 $650 $500 $405 $300 $39 $30 $24 $18 School Age Infant $1202 $1331 $519 $799 $73 $81 $31 $48 $1202 $1331 $519 $799 $73 $81 $31 $48 $736 $900 $432 $482 $45 $55 $26 $29 $500 $654 $300 $363 $30 $39 $18 $22 North Slope Borough Toddler Preschool $1331 $905 $799 $545 $81 $55 $48 $33 $1331 $905 $799 $545 $81 $55 $48 $22 $800 $838 $516 $452 $48 $51 $31 $27 $650 $500 $405 $300 $39 $30 $24 $18 School Age $1202 $519 $73 $31 $1202 $519 $73 $31 $736 $432 $45 $26 $500 $300 $30 $18 Infant: Birth through 12 months Toddler: 13 months through 35 months Preschool Age: 36 months through 59 months School Age: 5 years through 13 years' F/T month (Full month) = 17 through 23 days of care, that includes at least one full day, during a calendar month; P/T month (Part month)= fewer than 17 days of care in any combination of part or full days in a month, or 17 through 23 part days of care during a calendar month; F/T day (Full day)= 5 hours and 1 minute of care and up to and including 10 hours of care in a day; P/T day (Part day)= up to and including 5 hours of care in a day. Rate Regions: http://live.laborstats.alaska.gov/cen/maps/state/current/ AlaskaBorCA.pdf * For information on Child Care Assistance Program eligibility, please see 7 AAC 41.350 of the Alaska Administrative Code.

State of Alaska Department of Health Division of Public Assistance - Child Care Program Office Child Care Assistance Program Rate Schedule (Revised December 2021) Rate Region Age Group Licen F/T Month I sed or Mi P/T Month litary Center F/T Day I P/T Day Li F/T Month I censed Gr P/T Month oup F/T Day Home I P/T Day Lice F/T Month I nsed or M P/T Month ilitary Ho F/T Day I me P/T Day Approve F/T Month I d Relative P/T Month or In-H F/T Day ome Care I P/T Day Infant $1073 $591 $65 $36 $1073 $591 $65 $36 $900 $482 $55 $29 $654 $363 $39 $22 Northwest Arctic Borough Toddler Preschool $995 $905 $562 $545 $60 $55 $34 $33 $995 $905 $562 $545 $60 $55 $34 $33 $800 $838 $516 $452 $48 $51 $31 $27 $650 $500 $405 $300 $39 $30 $24 $18 School Age Infant $1202 $1162 $519 $641 $73 $70 $31 $39 $1202 $1162 $519 $641 $73 $70 $31 $39 $736 $900 $432 $482 $45 $55 $26 $29 $500 $523 $300 $322 $30 $31 $18 $19 Petersburg Borough Toddler Preschool $1100 $980 $750 $545 $67 $59 $45 $33 $1100 $980 $750 $545 $67 $59 $45 $33 $900 $743 $530 $446 $55 $45 $32 $27 $492 $450 $365 $275 $30 $27 $22 $17 School Age Infant $1002 $1210 $457 $641 $61 $73 $28 $39 $1002 $1210 $457 $641 $61 $73 $28 $39 $652 $900 $392 $482 $40 $55 $24 $29 $450 $523 $275 $322 $27 $31 $17 $19 Prince of Wales-Hyder Toddler $1100 $750 $67 $45 $1100 $750 $67 $45 $900 $530 $55 $32 $492 $365 $30 $22 Census Area Preschool $980 $545 $59 $33 $980 $545 $59 $33 $743 $446 $45 $27 $450 $275 $27 $17 School Age Infant $1002 $1320 $483 $750 $61 $80 $29 $45 $1002 $1320 $483 $750 $61 $80 $29 $45 $652 $900 $392 $482 $40 $55 $24 $29 $450 $523 $275 $322 $27 $31 $17 $19 City and Borough of Sitka Toddler Preschool $1182 $945 $820 $375 $72 $57 $50 $23 $1182 $945 $820 $375 $72 $57 $50 $23 $1118 $743 $681 $750 $68 $45 $41 $45 $492 $450 $365 $275 $30 $27 $22 $17 School Age Infant $650 $1162 $375 $641 $39 $70 $23 $39 $650 $1162 $375 $641 $39 $70 $23 $39 $652 $900 $590 $482 $40 $55 $36 $29 $450 $523 $275 $322 $27 $31 $17 $19 Municipality of Skagway Toddler Preschool $1004 $884 $616 $536 $61 $54 $37 $32 $1004 $884 $616 $536 $61 $54 $37 $32 $900 $743 $530 $446 $55 $45 $32 $27 $492 $450 $365 $275 $30 $27 $22 $17 School Age Infant $1002 $1095 $375 $650 $61 $66 $23 $39 $1002 $1095 $375 $650 $61 $66 $23 $39 $652 $900 $392 $475 $40 $55 $24 $29 $450 $521 $275 $322 $27 $31 $17 $19 Southeast Fairbanks Toddler $976 $625 $59 $38 $976 $625 $59 $38 $918 $550 $56 $33 $492 $359 $30 $22 Census Area Preschool $900 $676 $55 $41 $900 $676 $55 $41 $770 $462 $47 $28 $440 $264 $26 $16 School Age Infant $750 $1000 $488 $600 $45 $61 $30 $36 $750 $1000 $488 $600 $45 $61 $30 $36 $600 $886 $353 $501 $36 $54 $21 $30 $430 $503 $258 $314 $26 $30 $15 $19 Valdez-Cordova Census Toddler $ 975 $567 $59 $34 $975 $567 $59 $34 $744 $480 $45 $29 $500 $365 $30 $22 Area Preschool $750 $550 $45 $33 $750 $550 $45 $33 $697 $460 $42 $28 $500 $293 $30 $18 School Age Infant $827 $ 1208 $522 $591 $50 $73 $32 $36 $827 $1208 $522 $591 $50 $73 $32 $36 $600 $900 $400 $482 $36 $55 $24 $29 $500 $673 $293 $392 $30 $40 $18 $23 Kusilvak Census Area Toddler Preschool $1107 $886 $551 $537 $67 $54 $33 $33 $1107 $886 $551 $537 $67 $54 $33 $33 $800 $776 $516 $466 $48 $47 $31 $28 $608 $575 $439 $334 $36 $35 $26 $20 School Age Infant $914 $1162 $450 $641 $55 $70 $27 $39 $914 $1162 $450 $641 $55 $70 $27 $39 $776 $900 $432 $482 $47 $55 $26 $29 $575 $523 $334 $322 $35 $31 $20 $19 City and Borough of Toddler $1004 $616 $61 $37 $1004 $616 $61 $37 $900 $530 $55 $32 $492 $365 $30 $22 Wrangell Preschool $884 $536 $54 $32 $884 $536 $54 $32 $743 $446 $45 $27 $450 $275 $27 $17 School Age $1002 $375 $61 $23 $1002 $375 $61 $23 $652 $392 $40 $24 $450 $275 $27 $17 Infant: Birth through 12 months Toddler: 13 months through 35 months Preschool Age: 36 months through 59 months School Age: 5 years through 13 years' F/T month (Full month) = 17 through 23 days of care, that includes at least one full day, during a calendar month; P/T month (Part month)= fewer than 17 days of care in any combination of part or full days in a month, or 17 through 23 part days of care during a calendar month; F/T day (Full day)= 5 hours and 1 minute of care and up to and including 10 hours of care in a day; P/T day (Part day)= up to and including 5 hours of care in a day. Rate Regions: http://live.laborstats.alaska.gov/cen/maps/state/current/ AlaskaBorCA.pdf * For information on Child Care Assistance Program eligibility, please see 7 AAC 41.350 of the Alaska Administrative Code.

State of Alaska Department of Health Division of Public Assistance - Child Care Program Office Child Care Assistance Program Rate Schedule (Revised December 2021) Rate Region Age Group Licensed or Military Center /T P/T /T P/T F I F I Month Month Day Day Licensed Group Home /T P/T /T F I F I Month Month Day P/T Day Licensed or Military Home /T P/T /T P/T F I F I Month Month Day Day Approved Relative or In-Home Care /T P/T /T P/T F I F I Month Month Day Day Infant $1162 $641 $70 $39 $1162 $641 $70 $39 $900 $482 $55 $29 $523 $322 $31 $19 Yakutat Borough Toddler Preschool $1004 $884 $616 $536 $61 $54 $37 $32 $1004 $884 $616 $536 $61 $54 $37 $32 $900 $743 $530 $446 $55 $45 $32 $27 $492 $450 $365 $275 $30 $27 $22 $17 School Age $1002 $375 $61 $23 $1002 $375 $61 $23 $652 $392 $40 $24 $450 $275 $27 $17 Infant $1095 $650 $66 $39 $1095 $650 $66 $39 $900 $475 $55 $29 $521 $322 $31 $19 Yukon-Koyukuk Census Toddler $976 $625 $59 $38 $976 $625 $59 $38 $918 $550 $56 $33 $492 $359 $30 $22 Area Preschool $900 $676 $55 $41 $900 $676 $55 $41 $770 $462 $47 $28 $440 $264 $26 $16 School Age $750 $488 $45 $30 $750 $488 $45 $30 $600 $353 $36 $21 $430 $258 $26 $15 Infant: Birth through 12 months Toddler: 13 months through 35 months Preschool Age: 36 months through 59 months School Age: 5 years through 13 years' F/T month (Full month) = 17 through 23 days of care, that includes at least one full day, during a calendar month; P/T month (Part month)= fewer than 17 days of care in any combination of part or full days in a month, or 17 through 23 part days of care during a calendar month; F/T day (Full day)= 5 hours and 1 minute of care and up to and including 10 hours of care in a day; P/T day (Part day)= up to and including 5 hours of care in a day. Rate Regions: http://live.laborstats.alaska.gov/cen/maps/state/ current/ Alaska BorCA.pdf * For information on Child Care Assistance Program eligibility, please see 7 AAC 41.350 of the Alaska Administrative Code.

Family Income and Contribution Schedule Revised February 21, 2022 State of Alaska Department of Health Division of Public Assistance Child Care Program Office AK State Median Income by Family Size l2D15 - 2019 ACS Estimates\ $ 5897 $7285 $8673 $10 060 $11 448 $11 708 $11 968 Percent i SM/ i 1% Percent Copay 1% 2p Gross Income $59 2p Copay Amt $1 3p Gross Income $73 3p Copay Amt $1 4p Gross Income $87 4p Copay Amt $1 5p Gross Income $101 5p Copay Amt $1 6p Gross Income $114 6p Copay Amt $1 7p Gross Income $117 7p Copay Amt $1 Bp Gross Income $120 Bp Copay Amt $1 2% 1% $118 $1 $146 $1 $173 $2 $201 $2 $229 $2 $234 $2 $239 $2 3% 1% $177 $2 $219 $2 $260 $3 $302 $3 $343 $3 $351 $4 $359 $4 4% 1% $236 $2 $291 $3 $347 $3 $402 $4 $458 $5 $468 $5 $479 $5 5% 1% $295 $3 $364 $4 $434 $4 $503 $5 $572 $6 $585 $6 $598 $6 6% 1% $354 $4 $437 $4 $520 $5 $604 $6 $687 $7 $702 $7 $718 $7 7% 1% $413 $4 $510 $5 $607 $6 $704 $7 $801 $8 $820 $8 $838 $8 8% 1% $472 $5 $583 $6 $694 $7 $805 $8 $916 $9 $937 $9 $957 $10 9% 2% $531 $11 $656 $13 $781 $16 $905 $18 $1 030 $21 $1 054 $21 $1 077 $22 10% 2% $590 $12 $729 $15 $867 $17 $1,006 $20 $1,145 $23 $1,171 $23 $1,197 $24 11% 2% $649 $13 $801 $16 $954 $19 $1 107 $22 $1 259 $25 $1 288 $26 $1 316 $26 12% 2% $708 $14 $874 $17 $1 041 $21 $1 207 $24 $1 374 $27 $1 405 $28 $1 436 $29 13% 2% $767 $15 $947 $19 $1 127 $23 $1 308 $26 $1 488 $30 $1 522 $30 $1 556 $31 14% 2% $826 $17 $1 020 $20 $1 214 $24 $1 408 $28 $1 603 $32 $1 639 $33 $1 676 $34 15% 2% $885 $18 $1 093 $22 $1 301 $26 $1 509 $30 $1 717 $34 $1 756 $35 $1 795 $36 16% 2% $944 $19 $1 166 $23 $1 388 $28 $1 610 $32 $1 832 $37 $1 873 $37 $1 915 $38 17% 2% $1 002 $20 $1 238 $25 $1 474 $29 $1 710 $34 $1 946 $39 $1 990 $40 $2 035 $41 18% 3% $1 061 $32 $1 311 $39 $1 561 $47 $1 811 $54 $2 061 $62 $2 107 $63 $2 154 $65 19% 3% $1,120 $34 $1,384 $42 $1,648 $49 $1,911 $57 $2,175 $65 $2,225 $67 $2,274 $68 20% 3% $1 179 $35 $1 457 $44 $1 735 $52 $2 012 $60 $2 290 $69 $2 342 $70 $2 394 $72 21% 3% $1,238 $37 $1,530 $46 $1,821 $55 $2,113 $63 $2,404 $72 $2,459 $74 $2,513 $75 22% 3% $1 297 $39 $1 603 $48 $1 908 $57 $2 213 $66 $2 519 $76 $2 576 $77 $2 633 $79 23% 3% $1,356 $41 $1,676 $50 $1,995 $60 $2,314 $69 $2,633 $79 $2,693 $81 $2,753 $83 24% 3% $1 415 $42 $1 748 $52 $2 082 $62 $2 414 $72 $2 748 $82 $2 810 $84 $2 872 $86 25% 3% $1 474 $44 $1 821 $55 $2,168 $65 $2,515 $75 $2,862 $86 $2,927 $88 $2,992 $90 26% 4% $1 533 $61 $1 894 $76 $2 255 $90 $2 616 $105 $2 976 $119 $3 044 $122 $3 112 $124 27% 4% $1 592 $64 $1 967 $79 $2 342 $94 $2 716 $109 $3 091 $124 $3 161 $126 $3 231 $129 28% 4% $1 651 $66 $2 040 $82 $2 428 $97 $2 817 $113 $3 205 $128 $3 278 $131 $3 351 $134 29% 4% $1 710 $68 $2 113 $85 $2 515 $101 $2 917 $117 $3 320 $133 $3 395 $136 $3 471 $139 30% 4% $1 769 $71 $2 186 $87 $2 602 $104 $3 018 $121 $3 434 $137 $3 512 $140 $3 590 $144 31% 4% $1 828 $73 $2 258 $90 $2 689 $108 $3 119 $125 $3 549 $142 $3 629 $145 $3 710 $148 32% 4% $1,887 $75 $2,331 $93 $2,775 $111 $3,219 $129 $3,663 $147 $3,747 $150 $3,830 $153 33% 4% $1,946 $78 $2,404 $96 $2,862 $114 $3,320 $133 $3,778 $151 $3,864 $155 $3,949 $158 34% 4% $2,005 $80 $2,477 $99 $2,949 $118 $3,420 $137 $3,892 $156 $3,981 $159 $4,069 $163 35% 5% $2 064 $103 $2 550 $128 $3 036 $152 $3 521 $176 $4 007 $200 $4 098 $205 $4 189 $209 36% 5% $2,123 $106 $2,623 $131 $3,122 $156 $3,622 $181 $4,121 $206 $4,215 $211 $4,308 $215 37% 5% $2 182 $109 $2 695 $135 $3 209 $160 $3 722 $186 $4 236 $212 $4 332 $217 $4 428 $221 38% 5% $2,241 $112 $2,768 $138 $3 296 $165 $3,823 $191 $4,350 $218 $4,449 $222 $4,548 $227 39% 5% $2 300 $115 $2 841 $142 $3 382 $169 $3 923 $196 $4 465 $223 $4 566 $228 $4 668 $233 40% 5% $2 359 $118 $2 914 $146 $3 469 $173 $4 024 $201 $4 579 $229 $4 683 $234 $4 787 $239 41% 5% $2 418 $121 $2 987 $149 $3 556 $178 $4 125 $206 $4 694 $235 $4 800 $240 $4 907 $245 42% 5% $2 477 $124 $3 060 $153 $3 643 $182 $4 225 $211 $4 808 $240 $4 917 $246 $5 027 $251 43% 6% $2 536 $152 $3 133 $188 $3 729 $224 $4 326 $260 $4 923 $295 $5 034 $302 $5 146 $309 44% 6% $2 595 $156 $3 205 $192 $3 816 $229 $4 426 $266 $5 037 $302 $5 152 $309 $5 266 $316 45% 6% $2 654 $159 $3 278 $197 $3 903 $234 $4 527 $272 $5 152 $309 $5 269 $316 $5 386 $323 46% 6% $2 713 $163 $3 351 $201 $3 990 $239 $4 628 $278 $5 266 $316 $5 386 $323 $5,505 $330 47% 6% $2,772 $166 $3,424 $205 $4,076 $245 $4,728 $284 $5,381 $323 $5,503 $330 $5,625 $338 48% 6% $2 831 $170 $3 497 $210 $4 163 $250 $4 829 $290 $5 495 $330 $5 620 $337 $5 745 $345 49% 6% $2,890 $173 $3,570 $214 $4,250 $255 $4,929 $296 $5,610 $337 $5,737 $344 $5,864 $352 50% 6% $2 949 $177 $3 643 $219 $4 337 $260 $5 030 $302 $5 724 $343 $5 854 $351 $5 984 $359 51% 6% $3,007 $180 $3,715 $223 $4,423 $265 $5,131 $308 $5,838 $350 $5,971 $358 $6,104 $366 52% 7% $3 066 $215 $3 788 $265 $4 510 $316 $5 231 $366 $5 953 $417 $6 088 $426 $6 223 $436 53% 7% $3 125 $219 $3 861 $270 $4 597 $322 $5 332 $373 $6 067 $425 $6 205 $434 $6 343 $444 54% 7% $3 184 $223 $3 934 $275 $4 683 $328 $5 432 $380 $6 182 $433 $6 322 $443 $6 463 $452 55% 7% $3 243 $227 $4 007 $280 $4 770 $334 $5 533 $387 $6 296 $441 $6 439 $451 $6 582 $461 56% 7% $3 302 $231 $4 080 $286 $4 857 $340 $5 634 $394 $6 411 $449 $6 556 $459 $6 702 $469 57% 7% $3 361 $235 $4 152 $291 $4 944 $346 $5 734 $401 $6 525 $457 $6 674 $467 $6 822 $478 58% 7% $3 420 $239 $4 225 $296 $5 030 $352 $5 835 $408 $6 640 $465 $6 791 $475 $6 941 $486 59% 60% 7% 7% $3,479 $3,538 $244 $248 $4,298 $4,371 $301 $306 $5,117 $5,204 $358 $364 $5,935 $6,036 $415 $423 $6 754 $6,869 $473 $481 $6 908 $7,025 $484 $492 $7 061 $7,181 $494 $503 61% 8% $3 597 $288 $4 444 $356 $5 291 $423 $6 137 $491 $6 983 $559 $7 142 $571 $7 300 $584 62% 8% $3,656 $292 $4,517 $361 $5,377 $430 $6,237 $499 $7,098 $568 $7,259 $581 $7,420 $594 63% 8% $3 715 $297 $4 590 $367 $5 464 $437 $6 338 $507 $7 212 $577 $7 376 $590 $7 540 $603 64% 8% $3,774 $302 $4,662 $373 $5,551 $444 $6,438 $515 $7,327 $586 $7,493 $599 $7,660 $613 65% 8% $3 833 $307 $4 735 $379 $5 637 $451 $6 539 $523 $7 441 $595 $7 610 $609 $7 779 $622 66% 8% $3,892 $311 $4,808 $385 $5,724 $458 $6,640 $531 $7,556 $604 $7,727 $618 $7,899 $632 67% 8% $3 951 $316 $4 881 $390 $5 811 $465 $6 740 $539 $7 670 $614 $7 844 $628 $8 019 $642 68% 8% $4 010 $321 $4 954 $396 $5 898 $472 $6 841 $547 $7 785 $623 $7 961 $637 $8 138 $651 69% 8% $4 069 $326 $5 027 $402 $5 984 $479 $6 941 $555 $7 899 $632 $8 079 $646 $8 258 $661 70% 8% $4 128 $330 $5 100 $408 $6 071 $486 $7 042 $563 $8 014 $641 $8 196 $656 $8 378 $670 71% 8% $4 187 $335 $5 172 $414 $6 158 $493 $7 143 $571 $8 128 $650 $8 313 $665 $8 497 $680 72% 8% $4 246 $340 $5 245 $420 $6 245 $500 $7 243 $579 $8 243 $659 $8 430 $674 $8 617 $689 73% 9% $4,305 $387 $5,318 $479 $6,331 $570 $7,344 $661 $8,357 $752 $8,547 $769 $8,737 $786 74% 9% $4 364 $393 $5 391 $485 $6 418 $578 $7 444 $670 $8 472 $762 $8 664 $780 $8 856 $797 75% 9% $4,423 $398 $5,464 $492 $6,505 $585 $7,545 $679 $8,586 $773 $8,781 $790 $8,976 $808 76% 9% $4 482 $403 $5 537 $498 $6 591 $593 $7 646 $688 $8 700 $783 $8 898 $801 $9 096 $819 77% 9% $4,541 $409 $5,609 $505 $6,678 $601 $7,746 $697 $8,815 $793 $9,015 $811 $9,215 $829 78% 9% $4 600 $414 $5 682 $511 $6 765 $609 $7 847 $706 $8 929 $804 $9 132 $822 $9 335 $840 79% 9% $4,659 $419 $5,755 $518 $6,852 $617 $7,947 $715 $9,044 $814 $9,249 $832 $9,455 $851 80% 9% $4 718 $425 $5 828 $525 $6 938 $624 $8 048 $724 $9 158 $824 $9 366 $843 $9 574 $862 81% 9% $4 777 $430 $5 901 $531 $7 025 $632 $8 149 $733 $9 273 $835 $9 483 $853 $9 694 $872 82% 9% $4 836 $435 $5 974 $538 $7 112 $640 $8 249 $742 $9 387 $845 $9 601 $864 $9 814 $883 83% 9% $4 895 $441 $6 047 $544 $7 199 $648 $8 350 $752 $9 502 $855 $9 718 $875 $9 933 $894 84% 9% $4 953 $446 $6 119 $551 $7 285 $656 $8 450 $761 $9 616 $865 $9 835 $885 $10 053 $905 85% 9% $5 012 $451 $6 192 $557 $7 372 $663 $8 551 $770 $9 731 $876 $9 952 $896 $10 173 $916 Page 1 of 2

Family Income and Contribution Schedule Revised February 21, 2022 State of Alaska Department of Health Division of Public Assistance Child Care Program Office AK State Median Income by Family Size l2015 - 2D19 ACS Estimates\ $12 228 $12488 $12 749 $13 009 $13 269 $13 529 $13 7 89 Percent SM/ 1% Percent Copay 1% 9p Gross Income $122 9p Copay Amt $1 10p Gross Income $125 10p Copay Amt $1 11p Gross Income $127 11p Copay Amt $1 12p Gross Income $130 12p Copay Amt $1 13p Gross Income $133 13p Copay Amt $1 14p Gross Income $135 14p Copay Amt $1 15p Gross Income $138 15p Copay Amt $1 2% 1% $245 $2 $250 $3 $255 $3 $260 $3 $265 $3 $271 $3 $276 $3 3% 1% $367 $4 $375 $4 $382 $4 $390 $4 $398 $4 $406 $4 $414 $4 4% 1% $489 $5 $500 $5 $510 $5 $520 $5 $531 $5 $541 $5 $552 $6 5% 1% $611 $6 $624 $6 $637 $6 $650 $7 $663 $7 $676 $7 $689 $7 6% 1% $734 $7 $749 $7 $765 $8 $781 $8 $796 $8 $812 $8 $827 $8 7% 1% $856 $9 $874 $9 $892 $9 $911 $9 $929 $9 $947 $9 $965 $10 8% 1% $978 $10 $999 $10 $1,020 $10 $1,041 $10 $1,062 $11 $1,082 $11 $1,103 $11 9% 2% $1 101 $22 $1 124 $22 $1 147 $23 $1 171 $23 $1,194 $24 $1 218 $24 $1,241 $25 10% 2% $1,223 $24 $1,249 $25 $1,275 $26 $1,301 $26 $1,327 $27 $1,353 $27 $1,379 $28 11% 2% $1 345 $27 $1 374 $27 $1 402 $28 $1 431 $29 $1 460 $29 $1 488 $30 $1517 $30 12% 2% $1 467 $29 $1 499 $30 $1 530 $31 $1 561 $31 $1 592 $32 $1 623 $32 $1 655 $33 13% 2% $1 590 $32 $1 623 $32 $1 657 $33 $1 691 $34 $1 725 $35 $1 759 $35 $1 793 $36 14% 2% $1 712 $34 $1 748 $35 $1 785 $36 $1 821 $36 $1 858 $37 $1 894 $38 $1 930 $39 15% 2% $1 834 $37 $1 873 $37 $1 912 $38 $1 951 $39 $1 990 $40 $2 029 $41 $2 068 $41 16% 2% $1 956 $39 $1 998 $40 $2 040 $41 $2 081 $42 $2 123 $42 $2 165 $43 $2 206 $44 17% 2% $2 079 $42 $2 123 $42 $2 167 $43 $2 212 $44 $2 256 $45 $2 300 $46 $2 344 $47 18% 3% $2,201 $66 $2,248 $67 $2 295 $69 $2 342 $70 $2 388 $72 $2 435 $73 $2 482 $74 19% 3% $2,323 $70 $2,373 $71 $2,422 $73 $2,472 $74 $2,521 $76 $2,571 $77 $2,620 $79 20% 3% $2 446 $73 $2 498 $75 $2,550 $77 $2 602 $78 $2,654 $80 $2 706 $81 $2,758 $83 21% 3% $2,568 $77 $2,622 $79 $2,677 $80 $2,732 $82 $2,786 $84 $2,841 $85 $2,896 $87 22% 3% $2 690 $81 $2 747 $82 $2 805 $84 $2 862 $86 $2 919 $88 $2 976 $89 $3 034 $91 23% 3% $2,812 $84 $2,872 $86 $2,932 $88 $2,992 $90 $3,052 $92 $3,112 $93 $3,171 $95 24% 3% $2 935 $88 $2 997 $90 $3 060 $92 $3 122 $94 $3 185 $96 $3 247 $97 $3 309 $99 25% 3% $3 057 $92 $3 122 $94 $3 187 $96 $3 252 $98 $3 317 $100 $3 382 $101 $3 447 $103 26% 4% $3 179 $127 $3 247 $130 $3 315 $133 $3 382 $135 $3 450 $138 $3 518 $141 $3 585 $143 27% 4% $3 302 $132 $3 372 $135 $3 442 $138 $3 512 $140 $3 583 $143 $3 653 $146 $3 723 $149 28% 4% $3 424 $137 $3 497 $140 $3 570 $143 $3 643 $146 $3 715 $149 $3 788 $152 $3 861 $154 29% 4% $3 546 $142 $3 622 $145 $3 697 $148 $3 773 $151 $3 848 $154 $3 923 $157 $3 999 $160 30% 4% $3 668 $147 $3 746 $150 $3 825 $153 $3 903 $156 $3 981 $159 $4 059 $162 $4 137 $165 31% 4% $3 791 $152 $3 871 $155 $3 952 $158 $4 033 $161 $4 113 $165 $4 194 $168 $4 275 $171 32% 4% $3,913 $157 $3,996 $160 $4,080 $163 $4,163 $167 $4,246 $170 $4,329 $173 $4,412 $176 33% 4% $4,035 $161 $4 121 $165 $4,207 $168 $4 293 $172 $4,379 $175 $4 465 $179 $4,550 $182 34% 4% $4,158 $166 $4,246 $170 $4,335 $173 $4,423 $177 $4,511 $180 $4,600 $184 $4,688 $188 35% 5% $4 280 $214 $4 371 $219 $4,462 $223 $4 553 $228 $4,644 $232 $4 735 $237 $4,826 $241 36% 5% $4,402 $220 $4,496 $225 $4,590 $230 $4,683 $234 $4,777 $239 $4,870 $244 $4,964 $248 37% 5% $4 524 $226 $4 621 $231 $4 717 $236 $4 813 $241 $4 910 $246 $5 006 $250 $5 102 $255 38% 5% $4 647 $232 $4 745 $237 $4 845 $242 $4 943 $247 $5 042 $252 $5 141 $257 $5 240 $262 39% 5% $4 769 $238 $4 870 $244 $4 972 $249 $5 074 $254 $5 175 $259 $5 276 $264 $5 378 $269 40% 5% $4 891 $245 $4 995 $250 $5 100 $255 $5 204 $260 $5 308 $265 $5 412 $271 $5 516 $276 41% 5% $5 013 $251 $5 120 $256 $5 227 $261 $5 334 $267 $5 440 $272 $5 547 $277 $5 653 $283 42% 5% $5 136 $257 $5 245 $262 $5 355 $268 $5 464 $273 $5 573 $279 $5 682 $284 $5 791 $290 43% 6% $5 258 $315 $5 370 $322 $5 482 $329 $5 594 $336 $5 706 $342 $5 817 $349 $5 929 $356 44% 6% $5 380 $323 $5 495 $330 $5 610 $337 $5 724 $343 $5 838 $350 $5 953 $357 $6 067 $364 45% 6% $5 503 $330 $5 620 $337 $5 737 $344 $5 854 $351 $5 971 $358 $6 088 $365 $6 205 $372 46% 6% $5,625 $338 $5 744 $345 $5,865 $352 $5 984 $359 $6,104 $366 $6 223 $373 $6,343 $381 47% 6% $5,747 $345 $5,869 $352 $5,992 $360 $6,114 $367 $6,236 $374 $6,359 $382 $6,481 $389 48% 6% $5 869 $352 $5 994 $360 $6 120 $367 $6 244 $375 $6 369 $382 $6 494 $390 $6 619 $397 49% 6% $5,992 $360 $6,119 $367 $6,247 $375 $6,374 $382 $6,502 $390 $6,629 $398 $6,757 $405 50% 6% $6 114 $367 $6 244 $375 $6 375 $383 $6 505 $390 $6 635 $398 $6 765 $406 $6 895 $414 51% 6% $6,236 $374 $6,369 $382 $6,502 $390 $6,635 $398 $6,767 $406 $6,900 $414 $7,032 $422 52% 7% $6 359 $445 $6 494 $455 $6 629 $464 $6 765 $474 $6 900 $483 $7 035 $492 $7 170 $502 53% 7% $6 481 $454 $6 619 $463 $6 757 $473 $6 895 $483 $7 033 $492 $7 170 $502 $7 308 $512 54% 7% $6 603 $462 $6 744 $472 $6 884 $482 $7 025 $492 $7 165 $502 $7 306 $511 $7 446 $521 55% 7% $6 725 $471 $6 868 $481 $7 012 $491 $7 155 $501 $7 298 $511 $7 441 $521 $7 584 $531 56% 7% $6 848 $479 $6 993 $490 $7 139 $500 $7 285 $510 $7 431 $520 $7 576 $530 $7 722 $541 57% 7% $6 970 $488 $7 118 $498 $7 267 $509 $7 415 $519 $7 563 $529 $7 712 $540 $7 860 $550 58% 7% $7 092 $496 $7 243 $507 $7 394 $518 $7 545 $528 $7 696 $539 $7 847 $549 $7 998 $560 59% 60% 7% 7% $7,215 $7,337 $505 $514 $7,368 $7,493 $516 $525 $7,522 $7,649 $527 $535 $7,675 $7,805 $537 $546 $7,829 $7,961 $548 $557 $7 982 $8,117 $559 $568 $8,136 $8,273 $570 $579 61% 8% $7 459 $597 $7 618 $609 $7,777 $622 $7 935 $635 $8,094 $648 $8 253 $660 $8,411 $673 62% 8% $7,581 $606 $7,743 $619 $7,904 $632 $8,066 $645 $8,227 $658 $8,388 $671 $8,549 $684 63% 8% $7 704 $616 $7 867 $629 $8,032 $643 $8 196 $656 $8,359 $669 $8 523 $682 $8,687 $695 64% 8% $7,826 $626 $7,992 $639 $8,159 $653 $8,326 $666 $8,492 $679 $8,659 $693 $8,825 $706 65% 8% $7 948 $636 $8 117 $649 $8 287 $663 $8 456 $676 $8,625 $690 $8 794 $704 $8,963 $717 66% 8% $8,070 $646 $8,242 $659 $8,414 $673 $8,586 $687 $8,758 $701 $8,929 $714 $9,101 $728 67% 8% $8 193 $655 $8 367 $669 $8 542 $683 $8 716 $697 $8 890 $711 $9 064 $725 $9 239 $739 68% 8% $8 315 $665 $8 492 $679 $8 669 $694 $8 846 $708 $9 023 $722 $9 200 $736 $9 377 $750 69% 8% $8 437 $675 $8 617 $689 $8 797 $704 $8 976 $718 $9 156 $732 $9 335 $747 $9 514 $761 70% 8% $8 560 $685 $8 742 $699 $8 924 $714 $9 106 $728 $9 288 $743 $9 470 $758 $9 652 $772 71% 8% $8 682 $695 $8 866 $709 $9 052 $724 $9 236 $739 $9 421 $754 $9 606 $768 $9 790 $783 72% 8% $8 804 $704 $8 991 $719 $9 179 $734 $9 366 $749 $9 554 $764 $9 741 $779 $9 928 $794 73% 9% $8,926 $803 $9,116 $820 $9,307 $838 $9,497 $855 $9,686 $872 $9,876 $889 $10,066 $906 74% 9% $9,049 $814 $9 241 $832 $9 434 $849 $9 627 $866 $9 819 $884 $10 011 $901 $10 204 $918 75% 9% $9,171 $825 $9,366 $843 $9,562 $861 $9,757 $878 $9,952 $896 $10,147 $913 $10,342 $931 76% 9% $9 293 $836 $9 491 $854 $9 689 $872 $9 887 $890 $10 084 $908 $10 282 $925 $10 480 $943 77% 9% $9,416 $847 $9,616 $865 $9,817 $884 $10,017 $902 $10,217 $920 $10,417 $938 $10,618 $956 78% 9% $9 538 $858 $9 741 $877 $9 944 $895 $10 147 $913 $10 350 $932 $10 553 $950 $10 755 $968 79% 9% $9 660 $869 $9 866 $888 $10 072 $906 $10 277 $925 $10 483 $943 $10 688 $962 $10 893 $980 80% 9% $9 782 $880 $9 990 $899 $10 199 $918 $10 407 $937 $10 615 $955 $10 823 $974 $11 031 $993 81% 9% $9 905 $891 $10 115 $910 $10 327 $929 $10 537 $948 $10 748 $967 $10 958 $986 $11169 $1 005 82% 9% $10 027 $902 $10 240 $922 $10 454 $941 $10 667 $960 $10 881 $979 $11 094 $998 $11 307 $1 018 83% 9% $10 149 $913 $10 365 $933 $10 582 $952 $10 797 $972 $11 013 $991 $11 229 $1 011 $11 445 $1 030 84% 9% $10 272 $924 $10 490 $944 $10 709 $964 $10 928 $984 $11 146 $1 003 $11 364 $1 023 $11 583 $1 042 85% 9% $10 394 $935 $10 615 $955 $10 837 $975 $11 058 $995 $11 279 $1 015 $11 500 $1 035 $11 721 $1 055 Page 2 of 2