<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 13A.14.06.12" title_num="13A" subtitle_num="14" chapter_num="06" heading="Copayments.">
  <paragraph num="A.">
    <text>Parental Copayments.</text>
    <paragraph num="(1)">
      <text>An individual or family who uses CCS Program services shall contribute financially to the cost of those services, except for the following, who are exempt:</text>
      <paragraph num="(a)">
        <text>TCA applicants or recipients pursuant to Regulation .08A(1) of this chapter;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>SSI recipients; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A CCS customer for a voucher issued for a voluntary closure period as defined in Regulation .02B of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Except for additional vouchers issued for voluntary closure days, parental copayments are paid to a provider based on the provider's payment schedule and shall include a minimum copayment, as listed on the child care voucher and in accordance with Regulation .11A(2) of this chapter.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Except as exempted under §A of this regulation, parental copayments are assessed for three or fewer children who are receiving child care subsidy services. Copayments are assessed for services provided to an eligible child as follows:</text>
      <paragraph num="(a)">
        <text>The youngest child in care is assessed the highest copayment;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The second child in care, who is the next oldest, is assessed a lower copayment;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The third child in care, who is the next oldest in age to the second child, is assessed the same copayment amount as the second child; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>No copayment is assessed for the fourth child and subsequent children.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Parental copayments are determined on the basis of family size and income as set forth in Regulation .03H of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Regional Weekly Copayment Tables.</text>
    <paragraph num="(1)">
      <text>These regional weekly copayment tables are based on three units of service per day. For the two-unit and one-unit regional weekly copayments, multiply the figures in §B(2) and (3) of this regulation by 2/3 and 1/3 respectively.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Copayments for a Child 24 Months Old and Older in Family Child Care or Center Care.</text>
      <paragraph num="(a)">
        <text>Copayments Amounts for First (Youngest) Child in Care.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Copayments Amounts for Second and Third Children in Care.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A copayment is not assessed for subsequent children in a family who are:</text>
        <paragraph num="(i)">
          <text>The oldest children in the family pursuant to §A(3) of this regulation; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Receiving CCS Program services.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Copayments for a Child Younger than 24 Months Old in Family Child Care or Center Care.</text>
      <paragraph num="(a)">
        <text>Copayments Amounts for First (Youngest) Child in Care.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Copayments Amounts for Second and Third Children in Care.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A copayment is not assessed for subsequent children in a family who are:</text>
        <paragraph num="(i)">
          <text>The oldest children in the family pursuant to §A(3) of this regulation; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Receiving CCS Program services.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A family using informal care shall pay a copayment amount which is equal to the amount produced by multiplying the appropriate percentage from the following table by the informal care weekly rate in the jurisdiction where the child resides:</text>
    <paragraph num="(1)">
      <text>Copayments Amounts for First (Youngest) Child in Care.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Copayments Amounts for Second and Third Children in Care.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A copayment is not assessed for subsequent children in a family who are:</text>
      <paragraph num="(a)">
        <text>The oldest children in the family pursuant to §A(3) of this regulation; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Receiving CCS Program services.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Determination of Weekly Copayments.</text>
    <paragraph num="(1)">
      <text>In Regulation .03H of this chapter, the contractor shall find the family size and income to identify the corresponding copayment level letter, and:</text>
      <paragraph num="(a)">
        <text>Refer to the weekly copayment tables for regulated care listed under §B of this regulation to locate the appropriate regional weekly copayment for the:</text>
        <paragraph num="(i)">
          <text>Youngest child in the family in care; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Second and third oldest children in the family in care; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Determine the weekly copayment for informal child care by multiplying the appropriate regional weekly copayment percentage by the appropriate weekly informal rate, which may not exceed the rates listed in §C of this regulation by the appropriate weekly informal rate, which may not exceed the rates listed in Regulation .11D of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>For any family size greater than ten, the weekly copayment is the same as for a family of ten.</text>
    </paragraph>
  </paragraph>
</regulation>