CFR > Title 42 - Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS (parts 430 to 456) > PART 447—PAYMENTS FOR SERVICES > SUBPART A—Payments: General Provisions (§447.1 to §447.88) > 447.52—Minimum and maximum income-related charges.

447.52—Minimum and maximum income-related charges.

For the purpose of relating the amount of an enrollment fee, premium, or similar charge to total gross family income, as required under § 447.51(d), the following rules apply:
(a) Minimum charge. A charge of at least $1.00 per month is imposed on each—
(1) One- or two-person family with monthly gross income of $150 or less;
(2) Three- or four-person family with monthly gross income of $300 or less; and
(3) Five- or more-person family with monthly gross income of $350 or less.
(b) Maximum charge. Any charge related to gross family income that is above the minimum listed in paragraph (a) of this section may not exceed the standards shown in the following table:
Maximum Monthly Charge
Gross family income (per month) Family size
1 or 2 3 or 4 5 or more
$150 or less $1 $1 $1
$151 or $200 2 1 1
$201 to $250 3 1 1
$251 to $300 4 1 1
$301 to $350 5 2 1
$351 to $400 6 3 2
$401 to $450 7 4 3
$451 to $500 8 5 4
$501 to $550 9 6 5
$551 to $600 10 7 6
$601 to $650 11 8 7
$651 to $700 12 9 8
$701 to $750 13 10 9
$751 to $800 14 11 10
$801 to $850 15 12 11
$851 to $900 16 13 12
$901 to $950 17 14 13
$951 to $1,000 18 15 14
More than $1,000 19 16 15
(c) Income-related charges. The agency must impose an appropriately higher charge for each higher level of family income, within the maximum amounts specified in paragraph (b) of this section.
[43 FR 45253, Sept. 29, 1978, as amended at 45 FR 24889, Apr. 11, 1980]