Sec.17a-248-13. Schedule of contributions and insurance co-payments

(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.

(Effective June 29, 1998; Amended August 30, 2004; Amended April 19, 2010; Amended July 2, 2014)