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Child Care Gross Income Eligibility Limits and Sliding Fee Scale 0-100% 101%- 116%- 131 %- 146%- 161%- FPG 115% 130% 145% 160% 175% FPG FPG FPG FPG FPG Family Income 0% 1% 2% 3% 4% 5% Size Eligibility family family family family family family Limit co-pay co-pay co-pay co-pay co-pay co-pay 1 3,632 1,198 1,377 1,557 1,737 1,916 2,096 2 4,749 1,621 1,864 2,107 2,350 2,593 2,836 3 5,867 2,045 2,351 2,658 2,965 3,272 3,578 4 6,985 2,468 2,838 3,208 3,578 3,948 4,319 5 8,102 2,891 3,324 3,758 4,191 4,625 5,059 6 9,220 3,315 3,812 4,309 4,806 5,304 5,801 7 9,429 3,738 4,298 4,859 5,420 5,980 6,541 8 9,639 4,161 4,785 5,409 6,033 6,657 7,281 9 9,848 4,585 5,272 5,960 6,648 7,336 8,023 10 10,058 5,008 5,759 6,510 7,261 8,012 8,764 11 10,267 5,431 6,245 7,060 7,874 8,689 9,504 12 10,477 5,855 6,733 7,611 8,489 9,368 10,246 13 10,687 6,278 7,219 8,161 9,103 10,044 10,687 14 10,896 6,701 7,706 8,711 9,716 10,721 10,896 15 11,106 7,125 8,193 9,262 10,331 11,106 - For each 209 423 486 549 613 209 - add'I, add Instructions: 1. Gross Income (GI) eligibility limit is at 85% of State Median Income (SMI). 2. Compare GI with Income Eligibility Limit to determine income eligibility. 176%- 190% FPG 6% family co-pay 2,276 3,079 3,885 4,689 5,492 6,298 7,102 7,905 8,711 9,515 10,267 10,477 - - - - 191 %- 205% FPG 7% family co-pay 2,455 3,323 4,192 5,059 5,926 6,795 7,662 8,530 9,399 10,058 - - - - - - 3. If GI is less than or equal to the Income Eligibility Limit, find the largest reimbursement rate for which the income limit is greater than or equal to GI. 206%- 231% 230% FPG- FPG elig. limit 8% 9% family family co-pay co-pay 2,755 3,632 3,728 4,749 4,703 5,867 5,676 6,985 6,649 8,102 7,624 9,220 8,597 9,429 9,570 9,639 9,848 - - - - - - - - - - - - - - - Department of Human Services Benefit, Employment and Support Services Division January 2, 2020 EXHIBIT II 2 Attachment C-3, Page 1 of 1