Haw. Code R. § tit. 17, Department of Human Services, ch. 798.3, subch. 5, exh. II

Current through September, 2024

Exhibit II - Child Care

Gross Income Eligibility Limits and Sliding Fee Scale

Family Size	Income Eligibility Limit	0-100% FPG 0% family co-pay	101%-115% FPG 1% family co-pay	116%-130% FPG 2% family co-pay	131%-145% FPG 3% family co-pay	146%-160% FPG 4% family co-pay	161%-175% FPG 5% family co-pay	176%-190% FPG 6% family co-pay	191%-205% FPG 7% family co-pay	206%-230% FPG 8% family co-pay	231% FPG-elig. limit 9% family co-pay
1	3,632	1,198	1,377	1,557	1,737	1,916	2,096	2,276	2,455	2,755	3,632
2	4,749	1,621	1,864	2,107	2,350	2,593	2,836	3,079	3,323	3,728	4,749
3	5,867	2,045	2,351	2,658	2,965	3,272	3,578	3,885	4,192	4,703	5,867
4	6,985	2,468	2,838	3,208	3,578	3,948	4,319	4,689	5,059	5,676	6,985
5	8,102	2,891	3,324	3,758	4,191	4,625	5,059	5,492	5,926	6,649	8,102
6	9,220	3,315	3,812	4,309	4,806	5,304	5,801	6,298	6,795	7,624	9,220
7	9,429	3,738	4,298	4,859	5,420	5,980	6,541	7,102	7,662	8,597	9,429
8	9,639	4,161	4,785	5,409	6,033	6,657	7,281	7,905	8,530	9,570	9,639
9	9,848	4,585	5,272	5,960	6,648	7,336	8,023	8,711	9,399	9,848	-
10	10,058	5,008	5,759	6,510	7,261	8,012	8,764	9,515	10,058	-	-
11	10,267	5,431	6,245	7,060	7,874	8,689	9,504	10,267	-	-	-
12	10,477	5,855	6,733	7,611	8,489	9,368	10,246	10,477	-	-	-
13	10,687	6,278	7,219	8,161	9,103	10,044	10,687	-	-	-	-
14	10,896	6,701	7,706	8,711	9,716	10,721	10,896	-	-	-	-
15	11,106	7,125	8,193	9,262	10,331	11,106	-	-	-	-	-
For each add'l, add	209	423	486	549	613	209	-	-	-	-	-

Instructions:

1. Gross Income (GI) eligibility limit is at 85% of State Median Income (SMI).

2. Compare GI with Income Eligibility Limit to determine income eligibility.

3. If GI is less than or equal to the Income Eligibility Limit, find the largest reimbursement rate for which the income limit is greater than or equal to GI.

Haw. Code R. tit. 17, Department of Human Services, ch. 798.3, subch. 5, exh. II

Eff 8/6/2021