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r' <br /> Respite Care <br /> Sliding Fee Scale <br /> The income levels outlined below, based upon the combined income of <br /> the: p a_lent A,O.d caregiver pnly,, provide a reemmrnsndeg percentage to <br /> be applied to. service fees . Each provider needs to apply their own <br /> unit cost into the formula . <br /> In order to keep the tC.t?mmended sliding fee scale as sicple as <br /> possible, we have not factored in formulas for : number of <br /> dependents, medical expenses, loss of caregiver income, Etc . <br /> Therefore, we are providing the sliding fee scale with the following' <br /> implementation philosophy . The legislation requires that a mi.nirurs <br /> of 20: of the cost of the service (unit. cost X number of units <br /> received in a given month) be charged to the caregiver . The income <br /> levels with their respective percentages above the 20% level are <br /> s.;rvested feel for service. The caregiver should be informed of <br /> the suggested fee . The actual fee paid, however, should be <br /> negotiated between the provider agency and the caregiver based upon <br /> the caregivers ability to pay ; taking into account number of <br /> dependents , medical expenses, other financial obligations, etc . tut <br /> not less than the required 20% . <br /> . <br /> . Income. Levels RIttmEliam.d Pereer_t3;C.°,s <br /> 0 10 ,000 1 20% • <br /> • I <br /> 10,001 - 12,000 I 30% <br /> 12,001 - 15 ,000 40% • <br /> . I <br /> 15 ,001 - 18 ,000 I 50S <br /> 18 ,001 - 22,000 1 60% <br /> 22,001 25 ,000 i 80% <br /> 1 <br /> 25 ,001 - I 100% <br /> • <br /> • <br /> 4 <br /> • • <br /> • <br /> • <br /> ii <br />