When your child is receiving CCOP-funded services, you may have to pay a portion of the costs. After you and your service coordinator have finalized the development of your child and family-centered individual service plan (ISP), your service coordinator will apply a formula to determine whether or not you will have a parental payment liability.
All the rules and the specifics of the formula are described in detail in Wis. Admin. Code ch. DHS 1.
The Wisconsin Department of Health Services (DHS) Bureau of Children's Services (BCS) provides a Worksheet for Determination of Parental Payment Limit, F-01337 (Excel) that your county waiver agency may use to determine whether or not you will have a parental payment liability. The formula is based upon the rules in DHS 1. These rules take into consideration the size of your family, your family's income, and current federal poverty guidelines.
Your payment liability must be reassessed during your child's annual recertification. It may be reassessed more often if there are significant changes to your child's service plan or to your family's financial situation. Be sure to talk with your service coordinator if you feel the payment liability should be recalculated. Choose from the links below for more information.
- Wis. Admin. Code ch. DHS 1
- Federal Poverty Guidelines
- Parental Fee Declaration form, F-01338 (Word)
- Parental Payment Limit Frequently Asked Questions, F-01337B (PDF)
- Parental Payment Limit User's Guide for the Automated Workbook, F-01337A (PDF)
- Worksheet for Determination of Parental Payment Limit, F-01337 (Excel)