State Policies on Family Fees
Sliding fee scales generally utilize the Federal Poverty Level (FPL) as guidance to implement a fee schedule. Each state defines its own criteria for what a family is required to pay and is typically dependent upon the family's income and family size. Each family's cost would vary and may or may not be on a per service charge. Some states include extenuating circumstances as one way to reduce the family liability. Other examples of family fees include enrollment or annual fees.
- Alaska fees are based upon FPL and family size. Family financial situations may be considered.
- Sliding Fee Scale, (2008),
(DOC: 232kb)
- Connecticut fees are charged on a monthly basis beginning with the third month after services are initiated.
- Family Cost
Participation, (January 2010) (DOC: 83kb) (downloaded 7/7/10)
- Georgia charges a monthly fee based upon family income and size with allowances for certain extraordinary expenses.
- Financial Analysis Form, (2009),
(DOC: 201kb)
- Illinois charges a monthly fee based upon family income and size with allowances for certain extraordinary expenses.
- Indiana charges a co-payment based upon FPL for individual treatments with a maximum monthly cost share.
- Kentucky Family Share is a monthly participation fee that is not based upon how many or how few services are received in a given month. It is calculated using family income and family size.
- Massachusetts charges an Annual Program Fee that is based upon family income and family size. The fee is prorated for services that are provided for less than 1 year.
- Who Pays, (2009)
- Missouri charges a monthly fee based upon family income and size with allowances for certain extraordinary expenses.
- Family Cost
Participation Fees, (2005) ,
(PDF: 1,264kb)
- New Jersey Early Intervention System (EIS) family cost share is a progressive monthly fee based upon family size and income along the federal poverty level guidelines.
- Family Cost Participation, (2007)
- North Carolina has a sliding fee scale that takes into consideration the size of the family and income that must be used.
- Fees, Billing, and Reimbursement,
(2005), (PDF: 45kb)
- Texas fees are determined on a sliding fee scale based on family size and income. Provisions are in place to adjust income for unusual expenses so no child will be denied services because of a family's inability to pay.
- Family Cost Share, (2009)
- Virginia uses a sliding fee scale based upon taxable income and family size to determine a monthly cap if a family agrees to provide financial information.
- Ability to Pay, (2002)
- Utah charges a monthly fee based upon family income and size with allowances for certain extraordinary expenses.
- Family Fee Determination Form,
(2009), (DOC: 295kb)
- Fee Determination Form
Instructions, (2009), (PDF: 444kb)
- Rights Regarding Family
Fees, (2006), (PDF: 75kb)
- 2008 Sliding Fee Schedule,
(2008), (PDF: 68kb)
- Wisconsin charges a monthly fee based upon the FPL which considers family income and family size.