HRSA - Health Resources and Services Administration

  • Total family income of $75,000 or less; (total family income is the combined income of the child’s parents/guardian(s) shown on the IRS tax forms as their adjusted gross income).
  • Childcare may be full or part-time care that is center -based or home-based and includes daytime summer programs and before and after school programs as long as it is licensed or regulated by state and/or local authorities in the state or locality in which the provider operates.
  • Covers children from birth through age 12 (under the age of 13) and disabled children through age 17 (under the age of 18).

SUBSIDY SCHEDULE

Total Family Income Not to Exceed
$0 - $40,000 $75 per wk per child
$40,001- $47,000 $70 per wk per child
$47,001 - $54,000 $65 per wk per child
$54,001 - $61,000 $60 per wk per child
$61,001 - $70,000 $55 per wk per child
$70,001 - 75,000 $50 per wk per child
$75,001 - above $0 per wk per child

HRSA employees may become eligible for the program as early as the Monday following the date of receipt of a complete application by FCCS.

Required Information to be submitted includes:

  • Child Care Subsidy Application (OPM 1643)
  • Child Care Provider Information (OPM_1644.pdf)
  • Two most recent pay statements for each parent or guardian
  • A copy of the most recent Federal income tax return for each parent or guardian
  • A copy of the child care provider’s current license or statement of compliance with State and/or local child care regulations
  • A copy of the child care provider’s fee schedule

Applications may also be obtained by contacting Sheila Keenan at 301-443-2899 or by e-mail at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

Please scan and e-mail completed application packet to This e-mail address is being protected from spambots. You need JavaScript enabled to view it , fax to 303-933-7587 or mail to:

FCCS/HRSA Childcare
3333 S Wadsworth Blvd., Ste 300
Lakewood, CO 80227

 
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