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