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 |