Table 4 Child Care Income Eligibility and Co-Payment Table Effective: October 1, 2025 Families have a monthly co-payment that is subtracted from the amount of child care assistance (subsidy) a family qualifies for. The co-payment is determined based on (1) household size, (2) countable household income and (3) number of children in child care. Families are responsible to pay their co-payment directly to their provider each month. Families may also have additional out of pocket expenses to pay depending on how much their provider charges for services. Income Group 16 (for each household size) is the maximum income range to qualify for child care assistance. An eligibility worker will determine what income is countable. Household Size-2 Income Group Income Range Co-Payment 1 Child 2 Children > 2 Children Group 1 0-1,763 0 n/a n/a Group 2 1,763.01-2,082 18 n/a n/a Group 3 2,082.01-2,402 42 n/a n/a Group 4 2,402.01-2,722 72 n/a n/a Group 5 2,722.01-3,041 109 n/a n/a Group 6 3,041.01-3,361 122 n/a n/a Group 7 3,361.01-3,681 134 n/a n/a Group 8 3,681.01-4,001 147 n/a n/a Group 9 4,001.01-4,167 200 n/a n/a Group 10 4,167.01-4,334 208 n/a n/a Group 11 4,334.01-4,501 217 n/a n/a Group 12 4,501.01-4,667 225 n/a n/a Group 13 4,667.01-4,918 280 n/a n/a

Group 14 4,918.01-5,168 295 n/a n/a Group 15 5,168.01-5,418 310 n/a n/a Group 16 5,418.01-5,668 352 n/a n/a Household Size-3 Income Group Income Range Co-Payment 1 Child 2 Children > 2 Children Group 1 0-2,221 0 0 n/a Group 2 2,221.01-2,610 22 28 n/a Group 3 2,610.01-2,998 52 59 n/a Group 4 2,998.01-3,387 90 97 n/a Group 5 3,387.01-3,776 135 144 n/a Group 6 3,776.01-4,165 151 160 n/a Group 7 4,165.01-4,553 167 177 n/a Group 8 4,553.01-4,942 182 194 n/a Group 9 4,942.01-5,148 247 259 n/a Group 10 5,148.01-5,354 257 270 n/a Group 11 5,354.01-5,560 268 281 n/a Group 12 5,560.01-5,766 278 292 n/a Group 13 5,766.01-6,075 346 360 n/a Group 14 6,075.01-6,383 364 380 n/a Group 15 6,383.01-6,692 383 399 n/a Group 16 6,692.01-7,001 435 452 n/a Household Size-4 Income Group Income Range Co-Payment 1 Child 2 Children > 2 Children Group 1 0-2,679 0 0 0

Group 2 2,679.01-3,137 27 33 40 Group 3 3,137.01-3,595 63 71 78 Group 4 3,595.01-4,052 108 117 126 Group 5 4,052.01-4,510 162 172 182 Group 6 4,510.01-4,968 180 192 203 Group 7 4,968.01-5,426 199 211 224 Group 8 5,426.01-5,883 217 231 244 Group 9 5,883.01-6,128 294 309 324 Group 10 6,128.01-6,374 306 322 337 Group 11 6,374.01-6,619 319 335 351 Group 12 6,619.01-6,864 331 347 364 Group 13 6,864.01-7232 412 429 446 Group 14 7232.01-7,599 434 452 470 Group 15 7,599.01-7,967 456 475 494 Group 16 7,967.01-8,335 518 538 558 Household Size-5 Income Group Income Range Co-Payment 1 Child 2 Children > 2 Children Group 1 0-3,138 0 0 0 Group 2 3,138.01-3,664 31 39 47 Group 3 3,644.01-4,191 73 82 92 Group 4 4,191.01-4,718 126 136 47 Group 5 4,718.01-5,244 189 201 212 Group 6 5,244.01-5,771 210 223 236

Group 7 5,771.01-6,298 231 245 260 Group 8 6,298.01-6,825 252 268 283 Group 9 6,825.01-7,109 341 358 375 Group 10 7,109.01-7,393 355 373 391 Group 11 7,393.01-7,678 370 388 407 Group 12 7,678.01-7,962 384 403 422 Group 13 7,962.01-8,389 478 498 518 Group 14 8,389.01-8,815 503 524 545 Group 15 8,815.01-9,242 529 551 573 Group 16 9,242.01-9,668 601 624 647 Household Size-6 Income Group Income Range Co-Payment 1 Child 2 Children > 2 Children Group 1 0-3,596 0 0 0 Group 2 3,596.01-4,192 36 45 54 Group 3 4,192.01-4,787 84 94 105 Group 4 4,787.01-5,383 144 156 168 Group 5 5,383.01-5,979 215 229 242 Group 6 5,979.01-6,575 239 254 269 Group 7 6,575.01-7,170 263 279 296 Group 8 7,170.01-7,766 287 305 323 Group 9 7,766.01-8,090 388 408 427 Group 10 8,090.01-8,413 404 425 445 Group 11 8,413.01-8,737 421 442 463 Group 12 8,737.01-9,060

437 459 481 Group 13 9,060.01-9,546 544 566 589

Group 14 9,546.01-10,031 573 597 620 Group 15 10,031.01-10,516 602 627 652 Group 16 10,516.01-11,002 684 710 736 Household Size-7 Income Group Income Range Co-Payment 1 Child 2 Children > 2 Children Group 1 0-4,054 0 0 0 Group 2 4,054.01-4,610 41 51 61 Group 3 4,610.01-5,165 92 104 115 Group 4 5,165.01-5,721 155 168 181 Group 5 5,721.01-6,276 229 243 257 Group 6 6,276.01-6,832 251 267 282 Group 7 6,832.01-7,387 273 290 307 Group 8 7,387.01-7,943 295 314 332 Group 9 7,943.01-8,273 397 417 437 Group 10 8,273.01-8,604 414 434 455 Group 11 8,604.01-8,935 430 452 473 Group 12 8,935.01-9,266 447 469 491 Group 13 9,266.01-9,763 556 579 602 Group 14 9,763.01-10,259 586 610 635 Group 15 10,259.01-10,755 616 641 667 Group 16 10,755.01-11,252 699 726 753

Household Size-8 Income Group Income Range Co-Payment 1 Child 2 Children > 2 Children Group 1 0-4,513 0 0 0 Group 2 4,513.01-5,028 45 56 68 Group 3 5,028.01-5,543 101 113 126 Group 4 5,543.01-6,058 166 180 194 Group 5 6,058.01-6,573 242 257 273 Group 6 6,573.01-7,089 263 279 296 Group 7 7,089.01-7,604 284 301 319 Group 8 7,604.01-8,119 304 323 342 Group 9 8,119.01-8,457 406 426 447 Group 10 8,457.01-8,796 423 444 465 Group 11 8,796.01-9,134 440 462 484 Group 12 9134.01-9,472 457 480 502 Group 13 9,472.01-9,980 568 592 616 Group 14 9,980.01-10,487 599 624 649 Group 15 10,487.01-10,995 629 655 682 Group 16 10,995.01-11,502 715 742 770 Household Size-9 Income Group Income Range Co-Payment 1 Child 2 Children > 2 Children Group 1 0-4,971 0 0 0 Group 2 4,971.01-5,446 50 62 75

Group 3 5,446.01-5,921 109 123 136 Group 4 5,921.01-6,396 178 192 207 Group 5 6,396.01-6,871 256 272 288 Group 6 6,871.01-7,346 275 292 309 Group 7 7,346.01-7,821 294 312 331 Group 8 7,821.01-8,296 313 332 352 Group 9 8,296.01-8,641 415 436 456 Group 10 8,641.01-8,987 432 454 475 Group 11 8987.01-9,332 449 472 494 Group 12 9,332.01-9,678 467 490 513 Group 13 9,678.01-10,197 581 605 629 Group 14 10,197.01-10,715 612 637 663 Group 15 10,715.01-11,234 643 670 696 Group 16 11,234.01-11,752 730 758 786 Household Size-10 Income Group Income Range Co-Payment 1 Child 2 Children > 2 Children Group 1 0-5,429 0 0 0 Group 2 5,429.01-5,864 54 68 81 Group 3 5864.01-6,299 117 132 147 Group 4 6,299.01-6,733 189 205 220 Group 5 6,733.01-7,168 269 286 303 Group 6 7,168.01-7,603 287 305 323 Group 7 7,603.01-8,037 304 323 342 Group 8 8,037.01-8,472 321 342 362

Group 9 8,472.01-8,825 424 445 466 Group 10 8,825.01-9,178 441 463 485 Group 11 9,178.01-9,531 459 482 505 Group 12 9,531.01-9,884 477 500 524 Group 13 9,884.01-10,414 593 618 642 Group 14 10,414.01-10,943 625 651 677 Group 15 10,943.01-11,473 657 684 711 Group 16 11,473.01-12,002 746 774 803 Household Size-11 Incom e Group Income Range Co-Payment 1 Child 2 Children > 2 Children Group 1 0-5,888 0 0 0 Group 2 5,888.01-6,282 59 74 88 Group 3 6,282.01-6,676 126 141 157 Group 4 6,676.01-7,071 200 217 234 Group 5 7,071.01-7,465 283 301 318 Group 6 7,465.01-7,860 299 317 336 Group 7 7,860.01-8,254 314 334 354 Group 8 8,254.01-8,649 330 351 371 Group 9 8,649.01-9,009 432 454 476 Group 10 9,009.01-9,369 450 473 495 Group 11 9,369.01-9,730 468 492 515 Group 12 9,730.01-10,090 486 511 535 Group 13 10,090.01-10,630 605 631 656 Group 14

10,630.01-11,171 638 664 691 Group 15 11,171.01-11,712 670 698 726 Group 16

11,712.01-12,252 761 791 820

Household Size-12+ Income Group Income Range Co-Payment 1 Child 2 Children > 2 Children Group 1 0-6,346 0 0 0 Group 2 6,346.01-6,700 63 79 95 Group 3 6,700.01-7,054 134 151 168 Group 4 7,054.01-7,408 212 229 247 Group 5 7,408.01-7,763 296 315 333 Group 6 7,763.01-8,117 311 330 349 Group 7 8,117.01-8,471 325 345 365 Group 8 8,471.01-8,825 339 360 381 Group 9 8,825.01-9,193 441 463 485 Group 10 9,193.01-9,560 460 483 506 Group 11 9,560.01-9,928 478 502 526 Group 12 9,928.01-10,296 496 521 546 Group 13 10,296.01-10,847 618 643 669 Group 14 10,847.01-11,399 651 678 705 Group 15 11,399.01-11.951 684 712 741 Group 16 11,951.01-12,502 777 807 837