|
|
|
Clinton
County Community Support Department |
|
|
|
Clinton
County Mental Health Department
Client
Contributions
|
|
The Code of Iowa
governs financial responsibility of the individual committed to a
private, public, or state hospital. For other service areas, the
Clinton County Board of Supervisors may compromise the amount the
individual is responsible to repay Clinton County.
Clinton County
will not require client contribution for services provided through the
HCBS Waiver for persons with Mental Retardation.
Clinton County
shall use the following formula to determine client participation by the
individual. Third party insurance does not count toward the cost
of the service. Clinton County will coordinate with the individual
and their service provider of the need to contribute to the cost of
their services based upon financial information provided on a current
application for their co-payment. The individual shall only be
required to contribute an amount that does not bring their income below
150% of the poverty guidelines. The guidelines established are
based on the annual U.S. Department of Health and Human Services Federal
Poverty Levels and will be in effect July 1st of each successive
year. In Clinton County, the Clinton County Central Point of
Coordination Administrator determines that determination of financial
responsibility for an individual to contribute toward the cost of
his/her services.
|
If an individual's
household gross income is at or below 150% of the Federal Poverty Levels
(FPL), no individual participation will be required.
- If an individual's household
income is between 150% and 185% of the FPL, individual participation
will be 10% of the cost of the service;
- If the individual's
household income is between 185% and 200% of the FPL, individual
participation will be 20% of the cost of the service;
- If the individual's
household income is between 200% and 300% of the FPL, individual
participation will be 30% of the cost of the service;
- If the individual's
household income is at or above 300% of the FPL, the individual must
pay 100% of the amount of his/her services.
|
|
Size of Family
Unit |
Poverty
Guideline |
Monthly
100% |
Monthly
125% |
Monthly
150% |
Monthly
185% |
Monthly
200% |
Monthly
300% |
| County
Pays |
|
COSTS |
COSTS |
COSTS |
90% |
80% |
70% |
| 1 |
$8,350.00 |
$696.00 |
$870.00 |
$1,044.00 |
$1,287.00 |
$1,392.00 |
$2,088.00 |
| 2 |
$11,250.00 |
$938.00 |
$1,172.00 |
$1,406.00 |
$1,734.00 |
$1,875.00 |
$2,813.00 |
| 3 |
$14,150.00 |
$1,179.00 |
$1,474.00 |
$1,769.00 |
$2,181.00 |
$2,358.00 |
$3,538.00 |
| 4 |
$17,050.00 |
$1,421.00 |
$1,776.00 |
$2,131.00 |
$2,629.00 |
$2,842.00 |
$4,263.00 |
| 5 |
$19,950.00 |
$1,663.00 |
$2,078.00 |
$2,494.00 |
$3,076.00 |
$3,325.00 |
$4,988.00 |
| 6 |
$22,850.00 |
$1,904.00 |
$2,380.00 |
$2,856.00 |
$3,523.00 |
$3,808.00 |
$5,713.00 |
| 7 |
$25,750.00 |
$2,146.00 |
$2,682.00 |
$3,219.00 |
$3,970.00 |
$4,292.00 |
$6,438.00 |
| 8 |
$28,650.00 |
$2,388.00 |
$2,984.00 |
$3,581.00 |
$4,417.00 |
$4,775.00 |
$7,163.00 |
|
|
|
|
|
|
|
|
| Over
8 Add |
$2,900.00 |
$242.00 |
$302.00 |
$363.00 |
$447.00 |
$483.00 |
$725.00 |
|
