Table 4 Child Care Income Eligibility and Co-Payment Table Effective: October 1, 2026 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. Entry Limit: Income Group 6 is the entry threshold used for initial eligibility to process an Application. It is the maximum countable income to qualify when applying for child care assistance. Exit Limit: Income Group 10 is the exit threshold used for eligibility to process a Review. It is the maximum countable income to qualify when completing a child care Review. Open Child Care: Income Group 16 is the interim threshold used between Review cycles. Once approved for child care, families may remain income eligible during their full Review period as long as countable income does not exceed the upper income limits found in Group 16. • See income limits for changes that must be reported within 10 days of the change. Special Needs: Income Group 16 is the threshold for families approved for Special Needs Child Care. These families may qualify at a higher income limit for both entry and exit income levels. Household Size-2 Income Group Income Range Co-Payment 1 Child 2 Children > 2 Children Group 1 0-1803 0 0 0 Group 2 1,803.01-2,140 18 0 0 Group 3 2,140.01-2,477 43 0 0 Group 4 2,477.01-2,814 74 0 0

Group 5 2,814.01-3,151 113 0 0 Group 6 3,151.01-3,468 126 0 0 Group 7 3,468.01-3,825 139 0 0 Group 8 3,825.01-4,162 153 0 0 Group 9 4,162.01-4,335 208 0 0 Group 10 4,335.01-4,509 217 0 0 Group 11 4,509.01-4,682 225 0 0 Group 12 4,682.01-4,855 234 0 0 Group 13 4,855.01-5,116 291 0 0 Group 14 5,116.01-5,376 307 0 0 Group 15 5,376.01-5,636 323 0 0 Group 16 5,636.01-5,896 366 0 0

Household Size-3

Income Group Income Range

Co-Payment 1 Child 2 Children > 2 Children Group 1 0-2,277 0 0 0 Group 2 2,277.01-2,686 23 28 0 Group 3 2,686.01-3,095 54 60 0 Group 4 3,095.01-3,504 93 101 0 Group 5 3,504.01-3,913 140 149 0 Group 6 3,913.01-4,284 157 166 0 Group 7 4,284.01-4,732 171 182 0 Group 8 4,732.01-5,141 189 201 0 Group 9 5,141.01-5,355 257 270 0 Group 10 5,355.01-5,570 268 281 0 Group 11 5,570.01-5,784 278 292 0 Group 12 5,784.01-5,998 289 304 0 Group 13 5,998.01-6,319 360 375 0 Group 14 6,319.01-6,641 379 395 0 Group 15 6,641.01-6,962 398 415 0 Group 16 6,962.01-7,283 453 470 0

Household Size-4

Income Group Income Range

Co-Payment 1 Child 2 Children > 2 Children Group 1 0-2,750 0 0 0 Group 2 2,750.01-3,231 28 34 41 Group 3 3,231.01-3,713 65 73 81 Group 4 3,713.01-4,194 111 121 130 Group 5 4,194.01-4,676 168 178 189 Group 6 4,676.01-5,100 187 199 210 Group 7 5,100.01-5,639 204 217 230 Group 8 5,639.01-6,120 226 240 254 Group 9 6,120.01-6,375 306 321 337 Group 10 6,375.01-6,630 319 335 351 Group 11 6,630.01-6,885 332 348 365 Group 12 6,885.01-7,140 344 361 379 Group 13 7,140.01-7,523 428 446 464 Group 14 7,523.01-7,905 451 470 489 Group 15 7,905.01-8,288 474 494 514 Group 16 8,288.01-8,670 539 559 580

Household Size-5

Income Group Income Range

Co-Payment 1 Child 2 Children > 2 Children Group 1 0-3,223 0 0 0 Group 2 3,223.01-3,777 32 40 48 Group 3 3,777.01-4,331 76 85 94 Group 4 4,331.01-4,885 130 141 152 Group 5 4,885.01-5,438 195 208 220 Group 6 5,438.01-5,916 218 231 245 Group 7 5,916.01-6,546 237 251 266

Group 8 6,546.01-7,100 262 278 295 Group 9 7,100.01-7,395 355 373 390 Group 10 7,395.01-7,691 370 388 407 Group 11 7,691.01-7,987 385 404 423 Group 12 7,987.01-8,283 399 419 439 Group 13 8,283.01-8,727 497 518 538 Group 14 8,727.01-9,170 524 545 567 Group 15 9,170.01-9,614 550 573 596 Group 16 9,614.01-10,058 625 649 673

Household Size-6

Income Group Income Range

Co-Payment 1 Child 2 Children > 2 Children Group 1 0-3,697 0 0 0 Group 2 3,697.01-4,323 37 46 55 Group 3 4,323.01-4,949 86 97 108 Group 4 4,949.01-5,575 148 161 173 Group 5 5,575.01-6,201 223 237 251 Group 6 6,201.01-6,732 248 264 279 Group 7 6,732.01-7,453 269 286 303 Group 8 7,453.01-8,079 298 317 335 Group 9 8,079.01-8,415 404 424 444 Group 10 8,415.01-8,752 421 442 463 Group 11 8,752.01-9,089 438 459 481 Group 12 9,089.01-9,425 454 477 500 Group 13 9,425.01-9,930 566 589 613 Group 14 9,930.01-10,435 596 621 645 Group 15 10,435.01-10,940 626 652 678 Group 16 10,940-11,445 711 738 766

Household Size-7

Income Group Income Range

Co-Payment 1 Child 2 Children > 2 Children Group 1 0-4170 0 0 0 Group 2 4,170.01-4,755 42 52 63 Group 3 4,755.01-5,339 95 107 119 Group 4 5,339.01-5,924 160 174 187 Group 5 5,924.01-6,509 237 252 267 Group 6 6,509.01-6,885 260 277 293 Group 7 6,885.01-7,678 275 293 310 Group 8 7,678.01-8,262 307 326 346 Group 9 8,262.01-8,607 413 434 454 Group 10 8,607.01-8,951 430 452 473 Group 11 8,951.01-9,295 448 470 492 Group 12 9,295.01-9,640 465 488 511 Group 13 9,640.01-10,156 578 602 627 Group 14 10,156.01-10,672 609 635 660 Group 15 10,672.01-11,189 640 667 694 Group 16 11,189.01-11,705 727 755 783

Household Size-8

Income Group Income Range

Co-Payment 1 Child 2 Children > 2 Children Group 1 0-4,643 0 0 0 Group 2 4,643.01-5,187 46 58 70 Group 3 5,187.01-5,730 104 117 130 Group 4 5,730.01-6,273 172 186 201 Group 5 6,273.01-6,816 251 267 282 Group 6 6,816.01-7,038 273 290 307 Group 7 7,038.01-7,903 282 299 317 Group 8 7,903.01-8,446 316 336 356 Group 9 8,446.01-8,798 422 443 465

Group 10 8,798.01-9,150 440 462 484 Group 11 9,150.01-9,502 457 480 503 Group 12 9,502.01-9,854 475 499 523 Group 13 9,854.01-10,382 591 616 640 Group 14 10,382.01-10,910 623 649 675 Group 15 10,910.01-11,437 655 682 709 Group 16 11,437.01-11,965 743 772 801

Household Size-9

Income Group Income Range

Co-Payment 1 Child 2 Children > 2 Children Group 1 0-5,117 0 0 0 Group 2 5,117.01-5,619 51 64 77 Group 3 5,619.01-6,120 112 126 140 Group 4 6,120.01-6,622 184 199 214 Group 5 6,622.01-7,124 265 281 298 Group 6 7,124.01-7,191 285 303 321 Group 7 7,191.01-8,128 288 306 324 Group 8 8,128.01-8,630 325 345 366 Group 9 8,630.01-8,989 431 453 475 Group 10 8,989.01-9,349 449 472 494 Group 11 9,349.01-9,708 467 491 514 Group 12 9,708.01-10,068 485 510 534 Group 13 10,068.01-10,607 604 629 654 Group 14 10,607.01-11,147 636 663 689 Group 15 11,147.01-11,686 669 697 725 Group 16 11,686.01-12,225 760 789 818

Household Size-10

Incom e Group Income Range

Co-Payment 1 Child 2 Children > 2 Children Group 1 0-5,590 0 0 0 Group 2 5,590.01-6,539 56 70 84 Group 3 6,539.01-6,740 131 147 163 Group 4 6,740.01-6,941 202 219 236 Group 5 6,941.01-7,143 278 295 312 Group 6 7,143.01-7,344 286 304 321 Group 7 7,344.01-8,353 294 312 330 Group 8 8,353.01-8,813 334 355 376 Group 9 8,813.01-9,181 441 463 485 Group 10 9,181.01-9,548 459 482 505 Group 11 9,548.01-9,915 477 501 525 Group 12 9,915.01-10,282 496 521 545 Group 13 10,282.01-10,833 617 643 668 Group 14 10,833.01-11,384 650 677 704 Group 15 11,384.01-11,935 683 711 740 Group 16 11,935.01-12,846 776 806 835

Household Size-11

Incom e Group Income Range

Co-Payment 1 Child 2 Children > 2 Children Group 1 0-6,063 0 0 0 Group 2 6,063.01-6,675 61 76 91 Group 3 6,675.01-6,881 134 150 167 Group 4 6,881.01-7,086 206 224 241 Group 5 7,086.01-7,292 283 301 319

Group 6 7,292.01-7,497 292 310 328 Group 7 7,497.01-8,578 300 319 337 Group 8 8,578.01-8,997 343 365 386 Group 9 8,997.01-9,372 450 472 495 Group 10 9,372.01-9,747 469 492 515 Group 11 9,747.01-10,122 487 512 536 Group 12 10,122.01-10,496 506 531 557 Group 13 10,496.01-11,059 630 656 682 Group 14 11,059.01-11,621 664 691 719 Group 15 11,621.01-12,183 697 726 755 Group 16 12,183.01-12,746 792 822 853

Household Size-12+

Income Group Income Range

Co-Payment 1 Child 2 Children > 2 Children Group 1 0-6,537 0 0 0 Group 2 6,537.01-6,811 65 82 98 Group 3 6,811.01-7,021 136 153 170 Group 4 7,021.01-7,231 211 228 246 Group 5 7,231.01-7,440 289 307 325 Group 6 7,440.01-7,650 298 316 335 Group 7 7,650.01-8,803 306 325 344 Group 8 8,803.01-9,181 352 374 396 Group 9 9,181.01-9,563 459 482 505 Group 10 9,563.01-9,946 478 502 526 Group 11 9,946.01-10,328 497 522 547 Group 12 10,328.01-10,711 516 542 568 Group 13 10,711.01-11,284 643 669 696 Group 14 11,284.01-11,858 677 705 733 Group 15 11,858.01-12,432 711 741 771 Group 16 12,432.01-13,006 808 839 870