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State of Illinois Department of Human ServicesIL4443455B R0722 Im State of Illinois Department of Human ServicesIL4443455B R0722 Im

State of Illinois Department of Human ServicesIL4443455B R0722 Im - PDF document

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State of Illinois Department of Human ServicesIL4443455B R0722 Im - PPT Presentation

Family Size 3 Monthly Income Monthly CoPay 0 1919100 1920 21112000 2112 2303 4400 2304 2495 7200 2496 268710400 2688 2879 13900 2880 3071 17900 3072 3263 222 ID: 940684

income monthly family pay monthly income pay family size state parent time information month copayment illinois eligibility ranges redetermination

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State of Illinois Department of Human ServicesIL444-3455B (R-07-22) Important Parent Copayment Information Printed by Authority of the State of Illinois -0- CopiesPage 1 of 6IMPORTANT PARENT COPAYMENT INFORMATIONParents who have been approved for child care benefits are required to help pay for the cost of their child care. You MUST make a payment, called the Parent Co-Payment, to your child care provider each month. The amount of your parent If the co-payment is more than the total charges, the parent pays the lesser amount to the provider and no payment is The Department will not pay for any child care charges over the maximum rate. Family Size 3 Monthly Income Monthly Co-Pay $0 - 1,919$1.00 1,920 - 2,11120.00 2,112 - 2,303 44.00 2,304 - 2,495 72.00 2,496 - 2,687104.00 2,688 - 2,879 139.00 2,880 - 3,071 179.00 3,072 - 3,263 222.00 3,264 - 3,455235.00 3,456 - 3,646249.00 3,647 - 3,838262.00 3,839 - 4,030275.00 4,031 - 4,222289.00 4,223 - 4,318299.00 Family Size 4 Monthly IncomeMonthly Co-Pay $0 - 2,313 $1.00 2,314 - 2,544 24.00 2,545 - 2,775 53.00 2,776 - 3,006 87.00 3,007 - 3,238 125.00 3,239 - 3,469 3,470 - 3,700 215.00 3,701 - 3,931267.00 3,932 - 4,163 283.00 4,164 - 4,394 300.00 4,395 - 4,625 316.00 4,626 - 4,856332.00 4,857 - 5,088 348.00 5,089 - 5,203360.00Income can extend to the following ranges at the time of Redetermination and qualify for a new 12-month eligibility period Family Size 3 Monthly Income Monthly Co-Pay $4,319 - 4,414 306.00 4,415 - 4,606 316.00 4,607 - 4,798329.00 4,799 - 4,990 343.00 4,991 - 5,182 356.00 5,183 - 5,278366.00 Family Size 4 Monthly Income Monthly Co-Pay $5,204 - 5,319 368.00 5,320 - 5,550 380.00 5,551 - 5,781397.00 5,782 - 6,013413.00 6,014 - 6,244429.00 Family Size 2 Monthly Income Monthly Co-Pay $3,434 - 3,509 243.00 3,510 - 3,662 251.00 3,663 - 3,815262.00 3,816 - 3,967272.00 3,968 - 4,120 283.00 4,121 - 4,196291.00 Family Size 2 Monthly Income Monthly Co-Pay $0 - 1,526$1.00 1,527 - 1,67816.00 1,679 - 1,83135.00 1,832 - 1,98457.00 1,985 - 2,13682.00 2,137 - 2,289111.00 2,290 - 2,441 142.00 2,442 - 2,594176.00 2,595 - 2,747 187.00 2,748 - 2,899 198.00 2,900 - 3,052208.00 3,053 - 3,204 219.00 3,205 - 3,357 230.00 3,358 - 3,433238.00 Maximum Monthly Income and Monthly Co-Pay by Family Size and Income Level at Time of New Application. http

s://www.dhs.state.il.us/page.aspx?item=10568 Family Size 2 Monthly Income Monthly Co-Pay $4,197 - 4,921291.00 Family Size 3 Monthly Income Monthly Co-Pay $5,279 - 6,079 366.00 Family Size 4 Monthly Income Monthly Co-Pay $6,360 - 7,237441.00 State of Illinois Department of Human ServicesIL444-3455B (R-07-22) Important Parent Copayment Information Printed by Authority of the State of Illinois -0- CopiesPage 2 of 6IMPORTANT PARENT COPAYMENT INFORMATIONEffective July 1, 2022 - TABLE A Family Size 5 Monthly Income Monthly Co-Pay $0 - 2,706 1.00 2,707 - 2,976 28.00 2,977 - 3,247 62.00 3,248 - 3,518101.00 3,519 - 3,788146.00 3,789 - 4,059 196.00 4,060 - 4,329 252.00 4,330 - 4,600 313.00 4,601 - 4,871332.00 4,872 - 5,141350.00 5,142 - 5,412 369.00 5,413 - 5,682388.00 5,683 - 5,953407.00 5,954 - 6,088421.00 Family Size 5 Monthly Income Monthly Co-Pay $6,089 - 6,223 431.00 6,224 - 6,494445.00 6,495 - 6,765464.00 6,766 - 7,035483.00 7,036 - 7,306502.00 7,307 - 7,441516.00 Family Size 6 Monthly Income Monthly Co-Pay $0 - 3,0991.00 3,100 - 3,40933.00 3,410 - 3,71971.00 3,720 - 4,029116.00 4,030 - 4,339167.00 4,340 - 4,649225.00 4,650 - 4,959288.00 4,960 - 5,269358.00 5,270 - 5,579380.00 5,580 - 5,888401.00 5,889 - 6,198423.00 6,199 - 6,508445.00 6,509 - 6,618466.00 6,819 - 6,973483.00 Family Size 6 Monthly Income Monthly Co-Pay $6,974 - 7,128 494.00 7,129 - 7,438510.00 7,439 - 7,748532.00 7,749 - 8,058553.00 8,059 - 8,368575.00 8,369 - 8,523591.00 Family Size 7 Monthly Income Monthly Co-Pay $0 - 3,4931.00 3,494 - 3,84237.00 3,843 - 4,19180.00 4,192 - 4,540131.00 4,541 - 4,890189.00 4,891 - 5,239253.00 5,240 - 5,588325.00 5,589 - 5,937403.00 5,938 - 6,287428.00 6,288 - 6,636452.00 6,637 - 6,985477.00 6,986 - 7,334501.00 7,335 - 7,684526.00 7,685 - 7,858544.00 Family Size 7 Monthly Income Monthly Co-Pay $7,859 - 8,033556.00 8,034 - 8,382575.00 8,383 - 8,731599.00 8,732 - 9,081623.00 9,082 - 9,430648.00 9,431 - 9,604666.00 Family Size 5 Monthly Income Monthly Co-Pay $7,442 - 8,395 516.00Maximum Monthly Income and Monthly Co-Pay by Family Size and Income Level at Time of New Application.Income can extend to the following ranges at the time of Redetermination and qualify for a new 12-month eligibility periodFamily Income in the following ranges at the time of redetermination will result in a 3-month e

ligibility extension, known as a Graduated Phase Out for more information, see CCAP Policy 02.03.01 https://www.dhs.state.il.us/page.aspx?item=10568 Family Size 6 Monthly Income Monthly Co-Pay $8,524 - 9,553 591.00 Family Size 7 Monthly Income Monthly Co-Pay $9,605 - 9,770 660.00 State of Illinois Department of Human ServicesIL444-3455B (R-07-22) Important Parent Copayment Information Printed by Authority of the State of Illinois -0- CopiesPage 3 of 6IMPORTANT PARENT COPAYMENT INFORMATIONEffective July 1, 2022 - TABLE A Family Size 8 Monthly Income Monthly Co-Pay $0 - 3,8861.00 3,887 - 4,27441.00 4,275 - 4,66389.00 4,664 - 5,052146.00 5,053 - 5,440210.00 5,441 - 5,829282.00 5,830 - 6,217361.00 6,218 - 6,606449.00 6,607 - 6,995476.00 6,996 - 7,383503.00 7,384 - 7,772530.00 7,773 - 8,160558.00 8,161 - 8,549585.00 8,550 - 8,743605.00 Family Size 8 Monthly Income Monthly Co-Pay $8,744 - 8,937619.00 8,938 - 9,326639.00 9,327 - 9,715666.00 9,716 - 9,987694.00 Family Size 9 Monthly Income Monthly Co-Pay $0 - 4,2791.00 4,280 - 4,70745.00 4,708 - 5,13598.00 5,136 - 5,563161.00 5,564 - 5,991231.00 5,992 - 6,419310.00 6,420 - 6,847398.00 6,848 - 7,275494.00 7,276 - 7,703524.00 7,704 - 8,130554.00 8,131 - 8,558584.00 8,559 - 8,986614.00 8,987 - 9,414644.00 9,415 - 9,628667.00 Family Size 9 Monthly Income Monthly Co-Pay $9,629 - 9,842682.00 9,843 - 10,207704.00 Family Size 10 Monthly Income Monthly Co-Pay $0 - 4,6731.00 4,674 - 5,14049.00 5,141 - 5,607107.00 5,608 - 6,074175.00 6,075 - 6,542252.00 6,543 - 7,009339.00 7,010 - 7,476435.00 7,477 - 7,943540.00 7,944 - 8,411572.00 8,412 - 8,878605.00 8,879 - 9,345638.00 9,346 - 9,812671.00 9,813 - 10,280703.00 10,281 - 10,421728.00 Family Size 10 Monthly Income Monthly Co-Pay See Maximum Income AboveSee Co-pay Amount Above Income can extend to the following ranges at the time of Redetermination and qualify for a new 12-month eligibility periodFamily Income in the following ranges at the time of redetermination will result in a 3-month eligibility extension, known as a Graduated Phase Out for more information, see CCAP Policy 02.03.01 https://www.dhs.state.il.us/page.aspx?item=10568 Family Size 8 Monthly Income Monthly Co-Pay $9,716 - 9,987694.00 Family Size 9 Monthly Income Monthly Co-Pay $9,843 - 10,207704.00 Family Size 10 Monthly Income Monthly Co-Pay

See Maximum Income AboveSee Co-pay Amount Above State of Illinois Department of Human ServicesIL444-3455B (R-07-22) Important Parent Copayment Information Printed by Authority of the State of Illinois -0- CopiesPage 4 of 6IMPORTANT PARENT COPAYMENT INFORMATION Family Size 2 Monthly Income Monthly Co-Pay $3,434 - 3,509121.50 3,510 - 3,662125.50 3,663 - 3,815131.00 3,816 - 3,967136.00 3,968 - 4,120141.50 4,121 - 4,196145.50 Family Size 3 Monthly Income Monthly Co-Pay $4,319 - 4,414153.00 4,415 - 4,606158.00 4,607 - 4,798164.50 4,799 - 4,990 171.50 4,991 - 5,182178.00 5,183 - 5,278183.00 Family Size 4 Monthly Income Monthly Co-Pay $5,204 - 5,319184.00 5,320 - 5,550190.00 5,551 - 5,781198.50 5,782 - 6,013206.50 6,014 - 6,244214.50 6,245 - 6,359220.50 Family Size 2 Monthly Income Monthly Co-Pay $0 - 1,526 0.50 1,527 - 1,678 8.00 1,679 - 1,831 17.50 1,832 - 1,984 28.50 1,985 - 2,136 41.00 2,137 - 2,289 55.50 2,290 - 2,44171.00 2,442 - 2,59488.00 2,595 - 2,74793.50 2,748 - 2,89999.00 2,900 - 3,052 104.00 3,053 - 3,204109.50 3,205 - 3,357115.00 3,358 - 3,433119.00 Family Size 3 Monthly Income Monthly Co-Pay $0 - 1,9190.50 1,920 - 2,11110.00 2,112 - 2,30322.00 2,304 - 2,49536.00 2,496 - 2,68752.00 2,688 - 2,87969.50 2,880 - 3,07189.50 3,072 - 3,263111.00 3,264 - 3,455117.50 3,456 - 3,646124.50 3,647 - 3,838131.00 3,839 - 4,030137.50 4,031 - 4,222144.50 4,223 - 4,318149.50 Family Size 4 Monthly Income Monthly Co-Pay $0 - 2,3130.50 2,314 - 2,54412.00 2,545 - 2,77526.50 2,776 - 3,00643.50 3,007 - 3,23862.50 3,239 - 3,46984.00 3,470 - 3,700107.50 3,701 - 3,931133.50 3,932 - 4,163141.50 4,164 - 4,394150.00 4,395 - 4,625158.00 4,626 - 4,856166.00 4,857 - 5,088174.00 5,089 - 5,203180.00 Effective July 1, 2022 - TABLE BCo-Pay Indicator B - For any month September through May where all children are School Age and approved for Part-Day/School Age care. Income can extend to the following ranges at the time of Redetermination and qualify for a new 12-month eligibility periodFamily Income in the following ranges at the time of redetermination will result in a 3-month eligibility extension, known as a Graduated Phase Out for more information, see CCAP Policy 02.03.01 https://www.dhs.state.il.us/page.aspx?item=10568 Family Size 2 Monthly Income Monthly Co-Pay $4,197 - 4,921145.50 Family Size 3 Monthly

Income Monthly Co-Pay $5,279 - 6,079183.00 Family Size 4 Monthly Income Monthly Co-Pay $6,360 - 7,237220.50 State of Illinois Department of Human ServicesIL444-3455B (R-07-22) Important Parent Copayment Information Printed by Authority of the State of Illinois -0- CopiesPage 5 of 6IMPORTANT PARENT COPAYMENT INFORMATION Family Size 6 Monthly Income Monthly Co-Pay $6,974 - 7,128247.00 7,129 - 7,438255.00 7,439 - 7,748266.00 7,749 - 8,058276.50 8,059 - 8,368287.50 8,369 - 8,523295.50 Family Size 7 Monthly Income Monthly Co-Pay $7,859 - 8,033278.00 8,.034 - 8,382287.50 8,383 - 8,731299.50 8,732 - 9,081311.50 9,082 - 9,430 324.00 9,431 - 9,604330.00 Family Size 5 Monthly Income Monthly Co-Pay $6,089 - 6,223215.50 6,224 - 6,494 222.50 6,495 - 6,765 232.00 6,766 - 7,035241.50 7,036 - 7,306251.00 7,307 - 7,441258.00 Family Size 5 Monthly Income Monthly Co-Pay $0 - 2,7060.50 2,707 - 2,97614.00 2,977 - 3,24731.00 3,248 - 3,51850.50 3,519 - 3,78873.00 3,789 - 4,05998.00 4,060 - 4,329126.00 4,330 - 4,600156.50 4,601 - 4,871166.00 4,872 - 5,141175.00 5,142 - 5,412 184.50 5,413 - 5,682194.00 5,683 - 5,953203.50 5,954 - 6,088210.50 Family Size 6 Monthly Income Monthly Co-Pay $0 - 3,0990.50 3,100 - 3,40916.50 3,410 - 3,71935.50 3,720 - 4,02958.00 4,030 - 4,339 83.50 4,340 - 4,649112.50 4,650 - 4,959144.00 4,960 - 5,269179.00 5,270 - 5,579190.00 5,580 - 5,888200.50 5,889 - 6,198211.50 6,199 - 6,508222.50 6,509 - 6,818233.00 6,819 - 6,973241.50 Family Size 7 Monthly Income Monthly Co-Pay $0 -3,4930.50 3,494 - 3,84218.50 3,843 - 4,191 40.00 4,192 - 4,540 65.50 4,541 - 4,89094.50 4,891 - 5,239 126.50 5,240 - 5,588162.50 5,589 - 5,937201.50 5,938 - 6,287214.00 6,288 - 6.636226.00 6,637 - 6,985238.50 6,986 - 7,334250.50 7,335 - 7,684263.00 7,685 - 7,858272.00 Effective July 1, 2022 - TABLE BMaximum Monthly Income and Monthly Co-Pay by Family Size and Income Level at Time of New Application.Income can extend to the following ranges at the time of Redetermination and qualify for a new 12-month eligibility periodFamily Income in the following ranges at the time of redetermination will result in a 3-month eligibility extension, known as a Graduated Phase Out for more information, see CCAP Policy 02.03.01 https://www.dhs.state.il.us/page.aspx?item=10568 Family Size 5 Monthly Income Monthly Co-Pay $7,442 - 8,3952

58.00 Family Size 6 Monthly Income Monthly Co-Pay $8,524 - 9,553295.50 Family Size 7 Monthly Income Monthly Co-Pay $9,605 - 9,770330.00 State of Illinois Department of Human ServicesIL444-3455B (R-07-22) Important Parent Copayment Information Printed by Authority of the State of Illinois -0- CopiesPage 6 of 6IMPORTANT PARENT COPAYMENT INFORMATION Family Size 8 Monthly Income Monthly Co-Pay $8,744 - 8,937309.50 8,938 - 9,326319.50 9,327 - 9,715333.00 9,716 - 9,987347.00 Family Size 9 Monthly Income Monthly Co-Pay $9,629 - 9,842341.00 9,843 - 10,207352.00 Family Size 8 Monthly Income Monthly Co-Pay $0 - 3,8660.50 3,887 - 4,274 20.50 4,275 - 4,66344.50 4,664 - 5,05273.00 5,053 - 5,440105.00 5,441 - 5,829141.00 5,830 - 6,217 180.50 6,218 - 6,606224.50 6,607 - 6,995238.00 6,996 - 7,383251.50 7,384 - 7,772265.00 7,773 - 8,160279.00 8,161 - 8,549292.50 8,550 - 8,743302.50 Family Size 9 Monthly Income Monthly Co-Pay $0 - 4,2790.50 4,280 - 4,70722.50 4,708 - 5,13549.00 5,136 - 5,56380.50 5,564 - 5,991115.50 5,992 - 6,419 155.00 6,420 - 6,847 199.00 6,848 - 7,275247.00 7,276 - 7,703262.00 7,704 - 8,130277.00 8,131 - 8,558292.00 8,559 - 8,986307.00 8,987 - 9,414322.00 9,415 - 9,628333.50 Family Size 10 Monthly Income Monthly Co-Pay $0 - 4,6730.50 4,674 - 5,14024.50 5,141 - 5,60753.50 5,608 - 6,07487.50 6,075 - 6,542 126.00 6,543 - 7,009169.50 7,010 - 7,476217.50 7,477 - 7,943270.00 7,944 - 8,411286.00 8,412 - 8,878302.50 8,879 - 9,345319.00 9,346 - 9,812335.50 9,813 - 10,280351.50 10,281 - 10,421364.00Effective July 1, 2022 - TABLE BMaximum Monthly Income and Monthly Co-Pay by Family Size and Income Level at Time of New Application. Family Size 10 Monthly Income Monthly Co-Pay See Maximum Income AboveSee Co-pay Amount AboveIncome can extend to the following ranges at the time of Redetermination and qualify for a new 12-month eligibility periodFamily Income in the following ranges at the time of redetermination will result in a 3-month eligibility extension, known as a Graduated Phase Out for more information, see CCAP Policy 02.03.01 https://www.dhs.state.il.us/page.aspx?item=10568 Family Size 8 Monthly Income Monthly Co-Pay $9,716 - 9,987347.00 Family Size 9 Monthly Income Monthly Co-Pay $9,843 - 10,204352.00 Family Size 10 Monthly Income Monthly Co-Pay See Maximum Income AboveSee Co-pay Amount