Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 248 - Early Intervention Services for Infants and Toddlers and Their Families › Section 17a-248-13 - Schedule of contributions and insurance co-payments

Current through July 10, 2024
(a) The schedule of contributions based on a
			 sliding scale for a parent whose insurance policy is required to provide
			 coverage for IFSP early intervention services pursuant to sections
			 38a-490a
			 and
			 38a-516a
			 of the Connecticut General Statutes, an uninsured parent, or a parent who
			 assigns to the lead agency the right of recovery shall be as follows:
Adjusted Gross Monthly Contribution by Family Size Family
				Income
3 or Fewer
4
5
6 or More
Less than $45,000
$0
$0
$0
$0
$45,000 - $55,000
$24
$16
$8
$8
$55,001 - $ $65,000
$32
$24
$16
$8
$65,001 - $75,000
$40
$32
$24
$16
$75,001 - $85,000
$56
$48
$40
$32
$85,001 - $95,000
$104
$96
$88
$80
$95,001 - $105,000
$120
$112
$104
$96
$105,001 - $125,000
$152
$144
$136
$128
$125,001 - $150,000
$192
$184
$176
$168
$150,001 - $175,000
$232
$224
$216
$208
$175,001 - and above
$272
$264
$256
$248
(b)
			 The schedule of insurance co-payments based on a sliding scale for a parent who
			 has an insurance policy and does not assign to the lead agency the right of
			 recovery shall be as follows:
Adjusted Gross Monthly Insurance
Family Income Co-payment
Less than $45,000 $ 0
$45,000 - $55,000 $ 8
$55,001 - $65,000 $ 8
$65,001 - $75,000 $16
$75,001 - $85,000 $32
$85,001 - $95,000 $75
$95,001 - $105,000 $75
$105,001 - $125,000 $75
$125,001 - $150,000 $75
$150,001 - $175,000 $75
$175,001 - and above $75
(c) The monthly contribution and, if
			 applicable, insurance co-payment from a parent, in accordance with the
			 schedules established in this section, shall begin with the first full calendar
			 month of a child's enrollment after IFSP early intervention services
			 begin.
(d) A parent shall be liable
			 for the monthly contribution and, if applicable, insurance co-payment for each
			 full calendar month that their child is enrolled in the birth-to- three system
			 after IFSP early intervention services begin and until the child exits the
			 system. An additional monthly contribution and, if applicable, insurance co-
			 payment shall not be required if the parent has more than one child enrolled in
			 the birth-to-three system at the same time.
(e) The aggregate contributions made by a
			 parent and a parent's insurance shall not exceed the aggregate state cost of
			 IFSP early intervention services received by their child and family.
(f) The State Interagency Birth-to-Three
			 Coordinating Council shall review the schedule of contributions and insurance
			 co-payments at least once every three (3) years and shall make recommendations
			 to the lead agency regarding the schedule of contributions and insurance
			 co-payments.
(g) The lead agency or
			 its designee shall be responsible for billing. When the amount owed by the
			 parent is equal to or more than three (3) months of unpaid contributions and,
			 if applicable, insurance co-payments, the lead agency shall notify the parent
			 that IFSP early intervention services shall be suspended until such time as
			 payment is made in full. A parent shall be notified in writing not later than
			 ten (10) days prior to the suspension of services. At the time that IFSP early
			 intervention services are suspended, the parent may elect to continue to
			 receive only those services that the Individuals with Disabilities Education
			 Act Part C requires to be provided at no cost to parents or the parent may
			 withdraw from the birth-to-three system. Records of unpaid contributions and,
			 if applicable, insurance co-payments shall be maintained by the lead agency or
			 its designee and shall be due at any time that a child who has been withdrawn
			 is re-enrolled or a child's sibling is enrolled. The parent shall not be
			 required to make a contribution and, if applicable, insurance co-payment for
			 any month in which no IFSP early intervention services are delivered. Services
			 that are not cancelled by the family at least twenty-four hours prior to their
			 scheduled time are considered to have been delivered.
(h) The lead agency or its designee shall
			 conduct a reassessment of a parent's financial circumstances, not less than
			 annually, or when the lead agency determines that a reassessment is warranted.
			 The lead agency may adjust a parent's contribution and, if applicable,
			 insurance co-payment for IFSP early intervention services based upon the
			 reassessment.
(i) A parent has the
			 right to have a reassessment at any time if there are significant changes
			 affecting the determination of the parent's contribution and, if applicable,
			 insurance co-payment. Such request for reassessment shall be made in
			 writing.