14- 472 C.M.R. ch. 4, § 5
The fee scale is based on the federal nonfarm income official poverty line data as of February 2004 and will be re-determined annually based on updated federal data. Until updated by amendment to this rule, the February 2004 data are the measurements for the fee scale. The fee scale may not require fees from families below 250% of the federal nonfarm income official poverty line and must require families above 450% of the federal nonfarm income official poverty line to pay 100% of the cost of services. For purposes of evenly distributing the percentage of the cost of services, fees representing 25%, 50% and 75% of the cost of services are apportioned in equal increments on the scale.
A 25% fee is assessed on families with household incomes between 251% through 317% of the poverty line; a fee of 50% is assessed on families with household incomes between 318% to 384% of the poverty line; and a fee of 75% is assessed on families with household incomes between 385% to 450% of the poverty line. See Attachment A.
Providers are required to use the department's "determination of fees" worksheet for each household in calculating the applicable fee. Household Income is entered as item #1 on the "determination of fees" worksheet. See Attachment B.
14- 472 C.M.R. ch. 4, § 5