Families whose household income exceeds 250% of the federal poverty guidelines are subject to a sliding fee scale to participate in the cost of the First Steps program. For 2009, 250% of the federal poverty guidelines for a family of two is $36,425, and for a family of four it is $55,125.
Families may request that expenses related to the medical and personal care of a family member be considered in the calculation of the family income and co-payment amount. This may include health insurance co-payments and premiums, prescriptions and hospital expenses.
Co-payments are charged for most First Steps services. There are several services, however, for which a co-pay will not be charged. These include an evaluation, development of an Individual Family Service Plan (IFSP), service coordination, and procedural safeguards. Any questions about co-pays and services can be answered by First Steps Intake or Service Coordination staff.
Do not let concern about cost stop you from seeking First Steps services. Due to the nature of the sliding fee scale and the ability to have certain expenses considered in the calculation of income, the cost for many families should be low.
If you find that cost may prevent you from getting First Steps services, please 
.
See a list of services offered by First Steps.
Learn how to start First Steps services.