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Purchase of Care
Regional Monthly Co-Payment Tables
Formal Child Care

Effective February 2004

(These regional monthly copayment tables are based on three units of service per day.)
Copayments for a Child 24 Months Old and Older in Family Child Care or Center Care:

First (Youngest) Child in Care:

Copayment Level	Region U	Region V	Region W	Region X	Region Y	Region Z	Region BC
A	$19	$16	$23	$30	$24	$17	$21
B	30	26	36	48	38	28	34
C	48	43	59	79	62	45	56
D	70	62	86	115	91	66	82
E	93	82	113	151	120	86	107
F	119	105	144	194	153	110	137
G	145	128	176	236	187	135	167
H	167	148	203	272	216	155	193
I	178	157	216	290	230	166	206
J	186	164	225	303	240	173	215

Second and Third Children in Care:

Copayment Level	Region U	Region V	Region W	Region X	Region Y	Region Z	Region BC
A	$11	$10	$14	$18	$14	$10	$13
B	22	20	27	36	29	21	26
C	37	33	45	61	48	35	43
D	52	46	63	85	67	48	60
E	74	66	90	121	96	69	86
F	93	82	113	151	120	86	107
G	115	102	140	188	148	107	133
H	130	115	158	212	168	121	150
I	141	125	171	230	182	131	163
J	148	131	180	242	192	138	172

No copayment is assessed for subsequent children in a family who are the oldest children in the family and receiving POC services.

Note: Tables are based on three units of service (6 hours or more of care per day). For the two unit (more than 3 but less than 6 hours per day) and one unit (up to 3 hours per day) regional monthly co-payments, multiply these figures by .6667 and .3333, respectively.

Copayments for a Child Up to 24 Months Old in Family Child Care or Center Care:

First (Youngest) Child in Care:

Copayment Level	Region U	Region V	Region W	Region X	Region Y	Region Z	Region BC
A	$22	$19	$29	$37	$29	$18	$27
B	35	30	46	59	46	29	44
C	57	49	75	95	74	48	71
D	83	72	109	139	109	70	104
E	110	95	144	184	143	92	137
F	140	121	184	235	183	118	175
G	171	148	224	286	223	144	214
H	197	171	258	330	258	166	247
I	210	182	276	352	275	177	263
J	219	190	287	367	287	184	274

Second and Third Children in Care:

Copayment Level	Region U	Region V	Region W	Region X	Region Y	Region Z	Region BC
A	$13	$11	$17	$22	$17	$11	$16
B	26	23	34	44	34	22	33
C	44	38	57	73	57	37	55
D	61	53	80	103	80	52	77
E	88	76	115	147	115	74	110
F	110	95	144	184	143	92	137
G	136	117	178	228	178	114	170
H	153	133	201	257	201	129	192
I	166	144	218	279	218	140	208
J	175	152	230	294	229	147	219

No copayment is assessed for subsequent children in a family who are the oldest children in the family and receiving POC services.

Child(ren) with a Disability

The payment rate for a child with a disability in a family child care home or a child care center is the same as above except when the service provider provides documentation to the local department of social services that the cost of caring for the child with a disability exceeds the reasonable accommodation provisions of the Americans with Disabilities Act. In such cases, the local department will approve the additional cost up to 15% above the rates stated. If the requested cost exceeds 15%, the local department will submit a recommendation to the Child Care Administration for approval of a higher payment.

Purchase of Care Regional Configuration for Payment Rates

Region U - Cecil, Queen Anne’s, St. Mary’s, Talbot and Washington counties; Region V- Caroline, Dorchester, Kent, Somerset and Wicomico counties; Region W- Anne Arundel, Calvert, Carroll, Charles and Prince George’s counties; Region X- Howard and Montgomery counties; Region Y- Baltimore, Frederick and Harford counties; Region Z - Allegany, Garrett and Worcester counties; Region BC- Baltimore City

PURCHASE OF CARE

JURISDICTIONAL MONTHLY COPAYMENT TABLES FOR

INFORMAL CHILD CARE

First (Youngest) Child in Care:

Copayment Level	Copayment Percentage
A	5%
B	8%
C	13%
D	19%
E	25%
F	32%
G	39%
H	45%
I	48%
J	50%

Second and Third Children in Care:

Copayment Level	Copayment Percentage
A	3%
B	6%
C	10%
D	14%
E	20%
F	25%
G	31%
H	35%
I	38%
J	40%

No co-payment is assessed for subsequent children in a family who are the oldest children in the family and receiving POC services.

Note: A family using informal care must pay a co-payment amount which is equal to the amount produced by multiplying the appropriate percentage from the table by the informal care monthly rate in the jurisdiction where the informal/in-home care is provided. The monthly rate for informal/in-home care varies in each of the jurisdictions.