Exhibit C, 417 - C
Figure: 25 TAC §417.108(3)
Adult Clients in Mental Health Facilities
If the monthly gross income of the adult client and spouse, less $300 for each family member (as defined), is between: | the monthly fee based on monthly gross income is: | If the monthly gross income of the adult client and spouse, less $300 for each family member (as defined), is between: | the monthly fee based on monthly gross income is: | |
$0 $499 |
$ 0 |
$8250 $8499 |
$1600 |
|
$500 $749 |
$50 |
$8500 $8749 |
$1650 |
|
$750 $999 |
$100 |
$8750 $8999 |
$1700 |
|
$1000 $1249 |
$150 |
$9000 $9249 |
$1750 |
|
$1250 $1499 |
$200 |
$9250 $9499 |
$1800 |
|
$1500 $1749 |
$250 |
$9500 $9749 |
$1850 |
|
$1750 $1999 |
$300 |
$9750 $9999 |
$1900 |
|
$2000 $2249 |
$350 |
$10,000 $10,249 |
$1950 |
|
$2250 $2499 |
$400 |
$10,250 $10,499 |
$2000 |
|
$2500 $2749 |
$450 |
$10,500 $10,749 |
$2050 |
|
$2750 $2999 |
$500 |
$10,750 $10,999 |
$2100 |
|
$3000 $3249 |
$550 |
$11,000 $11,249 |
$2150 |
|
$3250 $3499 |
$600 |
$11,250 $11,499 |
$2200 |
|
$3500 $3749 |
$650 |
$11,500 $11,749 |
$2250 |
|
$3750 $3999 |
$700 |
$11,750 $11,999 |
$2300 |
|
$4000 $4249 |
$750 |
$12,000 $12,249 |
$2350 |
|
$4250 $4499 |
$800 |
$12,250 $12,499 |
$2400 |
|
$4500 $4749 |
$850 |
$12,500 $12,749 |
$2450 |
|
$4750 $4999 |
$900 |
$12,750 $12,999 |
$2500 |
|
$5000 $5249 |
$950 |
$13,000 $13,249 |
$2550 |
|
$5250 $5499 |
$1000 |
$13,250 $13,499 |
$2600 |
|
$5500 $5749 |
$1050 |
$13,500 $13,749 |
$2650 |
|
$5750 $5999 |
$1100 |
$13,750 $13,999 |
$2700 |
|
$6000 $6249 |
$1150 |
$14,000 $14,249 |
$2750 |
|
$6250 $6499 |
$1200 |
$14,250 $14,499 |
$2800 |
|
$6500 $6749 |
$1250 |
$14,500 $14,749 |
$2850 |
|
$6750 $6999 |
$1300 |
$14,750 $14,999 |
$2900 |
|
$7000 $7249 |
$1350 |
$15,000 $15,249 |
$2950 |
|
$7250 $7499 |
$1400 |
$15,250 $15,499 |
$3000 |
|
$7500 $7749 |
$1450 |
$15,500 $15,749 |
$3050 |
|
$7750 $7999 |
$1500 |
$15,750 $15,999 |
$3100 |
|
$8000 $8249 |
$1550 |
formula continues in increments of $250 |
formula continues in increments of $50 |