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Family Co-Pay 7 "G Estimated DHS assistance is based on 96 hours/ month of work activity. 7 Y ***Please note that this chart is just an estimate. Many factors determine eligibility*** 7 ! 2142-2355 7 2356-2676 7 2677-3212 7 3213-3426 7 3427-3747 7 3748-4283 7 4284-4439 7 0-1253 7 1254-1754 7 1755-2507 7 2508-2757 7 2758-3134 7 3135-3761 7 3762-4011 7 4012-4388 7 4389-5015 7 5016-6269 7 0-1436 7 1437-2010 7 2011-2873 7 2874-3160 7 3161-3591 7 3592-4310 7 4311-4597 7 4598-5028 7 5029-5747 7 5748-7184 7
175% -200% 200% - limit3 If tuition exceeds the maximum reimburseable rate, , 7 0-705 7 $706-$986 7 987-1409 7 1410-1550 7 1551-1761 7 1762-2114 7 2115-2255 7 2256-2466 7 2467-2819 7 0-887 7 888-1242 7 1243-1775 7 H This provides only an ESTIMATE of DHS Childcare Assistance ~ (2011 FPL) 7 # Estimated DHS/ Childcare Assistance 7 Zj ENTER THE MAX REIMBURSMENT RATE* (bottom of page) OR YOUR MONTHLY TUITION (whichever $ amount is smaller) 7 S To automatically calculate your estimated payments, TYPE IN THE ORANGE BOX (below).?
K 7 MAX or Tuition: 7 bC Then remember to add the difference to estimate your total payment. 7 *MAX REIMBURSEMENT RATES: 7 Center-Based (CB) Infant Toddler 7 [0 Family size 2 Eligible Income Range 7 0 Family size 3 Eligible Income Range 7 0 Family size 4 Eligible Income Range 7 0 Family size 5 Eligible Income Range 7 0 Family size 6 Eligible Income Range 7 | For two-parent households DHS counts only overlapping hours of work activity of both parents (e.g. both working 9-4, M-F). 7
2841-3108 7 3109-3551 7 1776-1952 7 1953-2219 7 2220-2663 7 2264-2840 7 2820-3524 7 0-1070 7 1071-1498 7 1499-2141 7 ] e n t e r t h e m a x i m u m r e i m b u r s e a b l e r a t e ( f r o m b e l o w ) i n t h e o r a n g e b o x N O T t h e t u i t i o n a m o u n t & . $ Licensed CB or Group Child Care Home/ Licensed Family Child Care (FCC) Infant Toddler Licensed FCC Home License-Exempt Infant Toddler L i c e n s e d - E x e m p t & Licensed Before / After School$ Licensed-Exempt Before/ After School Accredited NAEYC/NECPA CB 7 ! % of Federal Poverty Level (FPL) Family Co-Pay % 0-50% 50-70% 70-100% 100-110% 110-125% 125%-150% 150%-160% 160% 175% 3552-4439 7 X Find your Family Size (columns F-J); Income level is Gross Monthly income (Before Taxes) 7 4 Column A is Corresponding Fed Poverty Level (FPL %) 7 Z J y
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