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.
Arizona
Requires Family Cost Participation depending upon income and family size. Family Cost Participation applies to certain services.
- Rate Book (2015)
- Hardship Reduction Request (2019)
- Explanation of Family Cost Participation Documents Sent to Families
- DES/Office of Accounts Receivable Monthly Statement Template (2010)
- DES/Arizona Early Intervention Program Detail Statement Sample
California
Established the Family Cost Participation Program (FCPP) for the purpose of assessing a cost participation to parents of children who receive three specific regional center services: day care, respite, and/or camping. Legislation was passed in February 2008, to include consumers, age birth through 2, receiving respite, day care, and/or camping under the California Early Intervention Services Act (Early Start Program), effective October 1, 2008.
Connecticut
Family Cost Participation Fees were eliminated effective June 16, 2021.
- Family Cost Participation (2021)
Georgia
Charges a monthly fee based upon family income and size with allowances for certain extraordinary expenses.
- Financial Analysis Form (2009)
Illinois
Charges a monthly fee based upon family income and size with allowances for certain extraordinary expenses.
Indiana
Indiana First Steps charges a co-payment based upon FPL for individual treatments with a maximum monthly cost share.
Missouri
Charges a monthly fee based upon family income and size with allowances for certain extraordinary expenses.
- Family Cost Participation (2013)
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)
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 (2014)
Utah
Charges a monthly fee based upon family income and size with allowances for certain extraordinary expenses. The forms below are found on the Utah Agency Information page.
- Family Fee Determination Form & Procedural Safeguards (Spanish) (2013)
- Family Fee Determination Instructions (2013)
- Procedural Safeguards (no cost protections)(Spanish) (2013)
- Sliding Fee Scale (2018)
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.
- Notice of Child and Family Rights and Safeguards Including Facts About Family Cost Share (2024)
- Family Cost Share Fee Scale
Wisconsin
- Parental Cost Share (2014)