42 C.F.R. § 447.52   Minimum and maximum income-related charges.


Title 42 - Public Health


Title 42: Public Health
PART 447—PAYMENTS FOR SERVICES
Subpart A—Payments: General Provisions
enrollment fee, premium or similar cost sharing charge

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§ 447.52   Minimum and maximum income-related charges.

For the purpose of relating the amount of an enrollment fee, premium, or similar charge to total gross family income, as required under §447.51(d), the following rules apply:

(a) Minimum charge. A charge of at least $1.00 per month is imposed on each—

(1) One- or two-person family with monthly gross income of $150 or less;

(2) Three- or four-person family with monthly gross income of $300 or less; and

(3) Five- or more-person family with monthly gross income of $350 or less.

(b) Maximum charge. Any charge related to gross family income that is above the minimum listed in paragraph (a) of this section may not exceed the standards shown in the following table:

                         Maximum Monthly Charge------------------------------------------------------------------------                                                        Family size                                                 -----------------------         Gross family income (per month)                           5 or                                                  1 or 2  3 or 4   more------------------------------------------------------------------------$150 or less....................................      $1      $1      $1$151 or $200....................................       2       1       1$201 to $250....................................       3       1       1$251 to $300....................................       4       1       1$301 to $350....................................       5       2       1$351 to $400....................................       6       3       2$401 to $450....................................       7       4       3$451 to $500....................................       8       5       4$501 to $550....................................       9       6       5$551 to $600....................................      10       7       6$601 to $650....................................      11       8       7$651 to $700....................................      12       9       8$701 to $750....................................      13      10       9$751 to $800....................................      14      11      10$801 to $850....................................      15      12      11$851 to $900....................................      16      13      12$901 to $950....................................      17      14      13$951 to $1,000..................................      18      15      14More than $1,000................................      19      16      15------------------------------------------------------------------------

(c) Income-related charges. The agency must impose an appropriately higher charge for each higher level of family income, within the maximum amounts specified in paragraph (b) of this section.

[43 FR 45253, Sept. 29, 1978, as amended at 45 FR 24889, Apr. 11, 1980]

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