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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
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
85.0% $2,490 $3,526 $37
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
