Seal of the Otoe Missouria Tribe
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Otoe-Missouria Tribe of Oklahoma Client Fee Scale

A.  Gross Income minus $140.00 work related expense rounded to the nearest dollar per employed person.

B.  Program Participants pay per child per month.

C.  Recipients co-payment will be deducted from total charge per month.

CLIENT PAYS THE FIRST:

ADJUSTED MONTHLY GROSS INCOME

Family Size 2

Family Size 3

Family Size 4

Family Size 5

Family Size 6

Family Size 7

Family Size 8

Family Size 9

Family Size 10

0-1214

10

10

10

10

10

10

10

10

10

1215 - 1526

20

10

10

10

10

10

10

10

10

1527 - 1838

40

20

10

10

10

10

10

10

10

1839-2149

60

40

20

10

10

10

10

10

10

2150-2461

80

60

40

20

10

10

10

10

10

2462-2757

100

80

60

40

20

10

10

10

10

2758-2950

100

80

60

40

20

10

10

10

2951-3406

120

100

80

60

40

20

10

10

3407-3770

120

100

80

60

40

20

10

3771-4051

140

120

100

80

60

40

20

4052-4350

140

120

100

80

60

40

4351-4704

160

140

120

100

80

60

4705-5353

160

140

120

100

80

5354-5474

160

140

120

100

5475-5596

160

140

120

5597-5718

160

140

5719 - 5839

160