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Fee Determination Table

Fee or No Fee
Scenario DRA $35 Fee OK CP Fee
(3% up to $10/mo)
CP currently on TANF (Household Type – C) No No
CP formerly on TANF (Household Type – F) No Yes if not on Title XIX Medicaid on the 1st day of the month
Outgoing interstate case Yes Yes if not on Title XIX Medicaid on the 1st day of the month
OJA custody No No
CP on Title XIX Medicaid on the 1st day of the month (Household Type – N) Yes No
CP on SoonerPlan
(Household Type – N)
Yes Yes
Incoming interstate case/CP on Medicaid in another state

(case type – I) on the 1st day of the month
No No
No incoming referral/CP on Medicaid in another state (proof has been submitted to CSS) on the 1st day of the month Yes No
International CP & no incoming interstate referral Yes No
International CP & incoming interstate referral No No
Tribal Cases Only with a cooperative agreement Only with a cooperative agreement

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