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Pennsylvania Code (Last Updated: April 5, 2016) |
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Title 55. PUBLIC WELFARE |
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PART VI. Mental Health/Intellectual Disability/Autism Manual |
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Subpart C. Administration and Fiscal Management |
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Chapter 4305. Liability for Community Mental Health and MentalRetardation Services |
Appendix A.
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Monthly Liability for Community Mental Health
and Mental Retardation Nonresidential Services
Adjusted
Family IncomeNumber of Dependents 1 2 3 4 5 6 7 8 9 10 0- 499 0 0 0 0 0 0 0 0 0 0 500- 999 10 9 8 7 6 5 4 3 2 1 1000-1499 20 17 14 12 10 8 6 5 4 3 1500-1999 30 25 20 16 13 11 9 7 5 4 2000-2499 40 34 29 25 22 19 16 13 11 9 2500-2999 50 43 37 32 28 24 20 17 15 12 3000-3499 60 52 45 39 34 29 25 22 19 16 3500-3999 70 61 53 46 40 34 30 26 22 19 4000-4499 80 69 61 53 46 40 35 31 27 24 4500-4999 90 78 68 59 52 44 38 33 29 25 5000-5499 100 87 76 66 58 50 44 39 35 31 5500-5999 115 100 88 77 68 59 52 46 40 35 6000-6499 130 114 100 88 77 68 60 53 47 41 6500-6999 145 127 112 98 87 76 67 59 53 47 7000-7499 160 140 123 109 96 84 75 66 58 52 7500-7999 175 153 135 119 105 92 81 72 64 56 8000-8499 190 166 146 128 113 99 88 77 68 60 8500-8999 205 179 157 138 121 106 93 82 72 63 9000-9499 220 192 168 147 129 113 99 87 76 66 9500-9999 235 205 179 156 136 119 104 91 79 69 10000-10499 255 223 195 170 149 130 113 99 86 75 10500-10999 275 240 210 184 161 141 123 107 94 82 11000-11499 295 258 225 197 172 151 132 115 101 88 11500-11999 315 275 240 210 184 161 140 123 107 94 12000-12499 335 292 255 223 195 170 148 129 113 98 12500-12999 355 310 270 236 206 179 156 136 118 103 13000-13499 375 327 285 248 216 188 163 142 123 107 13500-13999 395 344 299 260 226 197 171 148 128 111 14000-14499 415 361 313 272 236 205 177 153 132 113 14500-14999 435 378 328 284 246 212 183 158 135 116 15000-15499 455 394 342 295 255 220 189 162 138 117 15500-15999 475 411 355 306 264 227 194 165 140 119 16000-16499 495 428 369 318 273 233 199 169 143 121 16500-16999 515 444 382 328 281 240 204 172 144 124 17000-17499 535 462 398 343 294 252 214 182 153 128 17500-17999 555 480 414 357 307 263 225 191 162 136 18000-18499 575 498 430 372 320 275 236 201 171 144 18500-18999 595 516 447 386 333 287 247 211 180 153 19000-19499 615 534 463 401 346 299 257 221 189 161 19500-19999 635 551 479 415 359 311 268 231 198 169 20000-20499 655 569 495 430 373 323 279 241 207 178 20500-20999 675 587 511 444 386 335 290 251 216 186 21000-21499 695 605 527 458 399 346 300 260 225 194 21500-21999 715 623 543 473 412 358 312 271 235 203 22000-22499 735 641 559 488 425 370 322 280 244 211 22500-22999 755 659 575 502 438 382 333 290 252 220 23000-23499 775 677 591 517 451 394 344 300 262 228 23500-23999 795 695 607 531 464 406 355 310 271 236 24000-24499 815 713 623 545 477 418 365 320 280 245 24500-24999 835 731 640 560 491 430 376 330 289 253 25000-25499 855 749 656 575 504 441 387 340 298 261 Formulae if Adjusted Family Income Exceeds $25,499
The liability for 1 dependent is adjusted family income times 0.0336 The liability for 2 dependents is adjusted family income times 0.0294 The liability for 3 dependents is adjusted family income times 0.0257 The liability for 4 dependents is adjusted family income times 0.0225 The liability for 5 dependents is adjusted family income times 0.0197 The liability for 6 dependents is adjusted family income times 0.0172 The liability for 7 dependents is adjusted family income times 0.0150 The liability for 8 dependents is adjusted family income times 0.0132 The liability for 9 dependents is adjusted family income times 0.0115 The liability for 10 dependents is adjusted family income times 0.0101
Cross References This appendix cited in 55 Pa. Code § 4305.41 (relating to liability); 55 Pa. Code § 4305.42 (relating to more than one client receiving service); and 55 Pa. Code § 4305.43 (relating to client receiving more than one service).