Child Care Certificate Program

1 DHS Program STAFF. 400 Deaderick Street Nashville, TN 37248. Child Care Certificate Program Income eligibility Limits and Parent Co-Pay Fee Table - Fiscal Year 2021-2022. Fee Schedule ID: 49 STAND 85% 10-1-21. HH % of Family Family Fee Fee Fee Fee Fee Fee Fee Fee Fee Fee SMI Income Income Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Lower Upper for 1 for 2 for 3 for 4 for 5 for 6 for 7 for 8 for 9 for 10. Limit Limit 2 $0 $458 $4. $459 $572 $8. $573 $687 $10. $688 $801 $12. $802 $915 $14. $916 $1,030 $16. $1,031 $1,144 $18. $1,145 $1,259 $20. $1,260 $1,373 $21. $1,374 $1,488 $23. $1,489 $1,602 $25. $1,603 $1,716 $27. $1,717 $1,831 $29. $1,832 $1,945 $31. $1,946 $2,060 $33. $2,061 $2,174 $34. $2,175 $2,289 $36. $2,290 $2,403 $38. $2,404 $2,517 $40. $2,518 $2,632 $42. $2,633 $2,746 $44. $2,747 $3,891 $41.

2 DE49 AAD Program ID: TCC 205A 10/1/2021 7:10:00 AM Page 1. DHS Program STAFF. 400 Deaderick Street Nashville, TN 37248. Child Care Certificate Program Income eligibility Limits and Parent Co-Pay Fee Table - Fiscal Year 2021-2022. HH % of Family Family Fee Fee Fee Fee Fee Fee Fee Fee Fee Fee SMI Income Income Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Lower Upper for 1 for 2 for 3 for 4 for 5 for 6 for 7 for 8 for 9 for 10. Limit Limit 3 $0 $565 $5 $9. $566 $707 $10 $18. $708 $848 $13 $23. $849 $989 $15 $26. $990 $1,131 $17 $30. $1,132 $1,272 $20 $35. $1,273 $1,414 $22 $39. $1,415 $1,555 $24 $42. $1,556 $1,696 $26 $46. $1,697 $1,838 $29 $51. $1,839 $1,979 $31 $54. $1,980 $2,120 $33 $58. $2,121 $2,262 $36 $63. $2,263 $2,403 $38 $67. $2,404 $2,544 $40 $70. $2,545 $2,686 $43 $75. $2,687 $2,827 $45 $79.

3 $2,828 $2,968 $47 $82. $2,969 $3,110 $49 $86. $3,111 $3,251 $52 $91. $3,252 $3,392 $54 $95. $3,393 $4,806 $50 $88. DE49 AAD Program ID: TCC 205A 10/1/2021 7:10:00 AM Page 2. DHS Program STAFF. 400 Deaderick Street Nashville, TN 37248. Child Care Certificate Program Income eligibility Limits and Parent Co-Pay Fee Table - Fiscal Year 2021-2022. HH % of Family Family Fee Fee Fee Fee Fee Fee Fee Fee Fee Fee SMI Income Income Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Lower Upper for 1 for 2 for 3 for 4 for 5 for 6 for 7 for 8 for 9 for 10. Limit Limit 4 $0 $673 $5 $9 $13. $674 $841 $12 $21 $30. $842 $1,010 $15 $26 $38. $1,011 $1,178 $18 $32 $45. $1,179 $1,346 $21 $37 $53. $1,347 $1,514 $23 $40 $58. $1,515 $1,683 $26 $46 $65. $1,684 $1,851 $29 $51 $73. $1,852 $2,019 $32 $56 $80. $2,020 $2,188 $34 $60 $85.

4 $2,189 $2,356 $37 $65 $93. $2,357 $2,524 $40 $70 $100. $2,525 $2,692 $42 $74 $105. $2,693 $2,861 $45 $79 $113. $2,862 $3,029 $48 $84 $120. $3,030 $3,197 $51 $89 $128. $3,198 $3,366 $53 $93 $133. $3,367 $3,534 $56 $98 $140. $3,535 $3,702 $59 $103 $148. $3,703 $3,870 $62 $109 $155. $3,871 $4,039 $64 $112 $160. $4,040 $5,721 $60 $105 $150. DE49 AAD Program ID: TCC 205A 10/1/2021 7:10:00 AM Page 3. DHS Program STAFF. 400 Deaderick Street Nashville, TN 37248. Child Care Certificate Program Income eligibility Limits and Parent Co-Pay Fee Table - Fiscal Year 2021-2022. HH % of Family Family Fee Fee Fee Fee Fee Fee Fee Fee Fee Fee SMI Income Income Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Lower Upper for 1 for 2 for 3 for 4 for 5 for 6 for 7 for 8 for 9 for 10. Limit Limit 5 $0 $781 $6 $11 $15 $20.

5 $782 $976 $14 $25 $35 $46. $977 $1,171 $17 $30 $43 $55. $1,172 $1,366 $21 $37 $53 $68. $1,367 $1,562 $24 $42 $60 $78. $1,563 $1,757 $27 $47 $68 $88. $1,758 $1,952 $30 $53 $75 $98. $1,953 $2,147 $33 $58 $83 $107. $2,148 $2,342 $37 $65 $93 $120. $2,343 $2,538 $40 $70 $100 $130. $2,539 $2,733 $43 $75 $108 $140. $2,734 $2,928 $46 $81 $115 $150. $2,929 $3,123 $49 $86 $123 $159. $3,124 $3,318 $52 $91 $130 $169. $3,319 $3,514 $56 $98 $140 $182. $3,515 $3,709 $59 $103 $148 $192. $3,710 $3,904 $62 $109 $155 $202. $3,905 $4,099 $65 $114 $163 $211. $4,100 $4,294 $68 $119 $170 $221. $4,295 $4,490 $72 $126 $180 $234. $4,491 $4,685 $75 $131 $188 $244. $4,686 $6,637 $70 $123 $175 $228. DE49 AAD Program ID: TCC 205A 10/1/2021 7:10:00 AM Page 4. DHS Program STAFF. 400 Deaderick Street Nashville, TN 37248. Child Care Certificate Program Income eligibility Limits and Parent Co-Pay Fee Table - Fiscal Year 2021-2022.

6 HH % of Family Family Fee Fee Fee Fee Fee Fee Fee Fee Fee Fee SMI Income Income Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Lower Upper for 1 for 2 for 3 for 4 for 5 for 6 for 7 for 8 for 9 for 10. Limit Limit 6 $0 $888 $7 $12 $18 $23 $28. $889 $1,111 $16 $28 $40 $52 $64. $1,112 $1,333 $20 $35 $50 $65 $80. $1,334 $1,555 $24 $42 $60 $78 $96. $1,556 $1,777 $27 $47 $68 $88 $108. $1,778 $1,999 $31 $54 $78 $101 $124. $2,000 $2,221 $34 $60 $85 $111 $136. $2,222 $2,443 $38 $67 $95 $124 $152. $2,444 $2,665 $42 $74 $105 $137 $168. $2,666 $2,888 $45 $79 $113 $146 $180. $2,889 $3,110 $49 $86 $123 $159 $196. $3,111 $3,332 $52 $91 $130 $169 $208. $3,333 $3,554 $56 $98 $140 $182 $224. $3,555 $3,776 $60 $105 $150 $195 $240. $3,777 $3,998 $63 $110 $158 $205 $252. $3,999 $4,220 $67 $117 $168 $218 $268. $4,221 $4,442 $71 $124 $178 $231 $284.

7 $4,443 $4,665 $74 $130 $185 $241 $296. $4,666 $4,887 $78 $137 $195 $254 $312. $4,888 $5,109 $81 $142 $203 $263 $324. $5,110 $5,331 $85 $149 $213 $276 $340. $5,332 $7,552 $79 $138 $198 $257 $316. DE49 AAD Program ID: TCC 205A 10/1/2021 7:10:00 AM Page 5. DHS Program STAFF. 400 Deaderick Street Nashville, TN 37248. Child Care Certificate Program Income eligibility Limits and Parent Co-Pay Fee Table - Fiscal Year 2021-2022. HH % of Family Family Fee Fee Fee Fee Fee Fee Fee Fee Fee Fee SMI Income Income Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Lower Upper for 1 for 2 for 3 for 4 for 5 for 6 for 7 for 8 for 9 for 10. Limit Limit 7 $0 $909 $7 $12 $18 $23 $28 $33. $910 $1,136 $17 $30 $43 $55 $68 $81. $1,137 $1,363 $20 $35 $50 $65 $80 $95. $1,364 $1,590 $24 $42 $60 $78 $96 $114. $1,591 $1,817 $28 $49 $70 $91 $112 $133.

8 $1,818 $2,045 $31 $54 $78 $101 $124 $147. $2,046 $2,272 $35 $61 $88 $114 $140 $166. $2,273 $2,499 $39 $68 $98 $127 $156 $185. $2,500 $2,726 $43 $75 $108 $140 $172 $204. $2,727 $2,953 $46 $81 $115 $150 $184 $219. $2,954 $3,180 $50 $88 $125 $163 $200 $238. $3,181 $3,408 $54 $95 $135 $176 $216 $257. $3,409 $3,635 $57 $100 $143 $185 $228 $271. $3,636 $3,862 $61 $107 $153 $198 $244 $290. $3,863 $4,089 $65 $114 $163 $211 $260 $309. $4,090 $4,316 $68 $119 $170 $221 $272 $323. $4,317 $4,543 $72 $126 $180 $234 $288 $342. $4,544 $4,771 $76 $133 $190 $247 $304 $361. $4,772 $4,998 $80 $140 $200 $260 $320 $380. $4,999 $5,225 $83 $145 $208 $270 $332 $394. $5,226 $5,452 $87 $152 $218 $283 $348 $413. $5,453 $7,724 $81 $142 $203 $263 $324 $385. DE49 AAD Program ID: TCC 205A 10/1/2021 7:10:00 AM Page 6. DHS Program STAFF.

9 400 Deaderick Street Nashville, TN 37248. Child Care Certificate Program Income eligibility Limits and Parent Co-Pay Fee Table - Fiscal Year 2021-2022. HH % of Family Family Fee Fee Fee Fee Fee Fee Fee Fee Fee Fee SMI Income Income Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Amt. Lower Upper for 1 for 2 for 3 for 4 for 5 for 6 for 7 for 8 for 9 for 10. Limit Limit 8 $0 $929 $8 $14 $20 $26 $32 $38 $44. $930 $1,161 $17 $30 $43 $55 $68 $81 $94. $1,162 $1,393 $21 $37 $53 $68 $84 $100 $116. $1,394 $1,626 $25 $44 $63 $81 $100 $119 $138. $1,627 $1,858 $28 $49 $70 $91 $112 $133 $154. $1,859 $2,090 $32 $56 $80 $104 $128 $152 $176. $2,091 $2,322 $36 $63 $90 $117 $144 $171 $198. $2,323 $2,554 $40 $70 $100 $130 $160 $190 $220. $2,555 $2,787 $43 $75 $108 $140 $172 $204 $237. $2,788 $3,019 $47 $82 $118 $153 $188 $223 $259.

10 $3,020 $3,251 $51 $89 $128 $166 $204 $242 $281. $3,252 $3,483 $55 $96 $138 $179 $220 $261 $303. $3,484 $3,716 $59 $103 $148 $192 $236 $280 $325. $3,717 $3,948 $62 $109 $155 $202 $248 $295 $341. $3,949 $4,180 $66 $116 $165 $215 $264 $314 $363. $4,181 $4,412 $70 $123 $175 $228 $280 $333 $385. $4,413 $4,644 $74 $130 $185 $241 $296 $352 $407. $4,645 $4,877 $78 $137 $195 $254 $312 $371 $429. $4,878 $5,109 $81 $142 $203 $263 $324 $385 $446. $5,110 $5,341 $85 $149 $213 $276 $340 $404 $468. $5,342 $5,573 $89 $156 $223 $289 $356 $423 $490. $5,574 $7,895 $83 $145 $208 $270 $332 $394 $457. DE49 AAD Program ID: TCC 205A 10/1/2021 7:10:00 AM Page 7. DHS Program STAFF. 400 Deaderick Street Nashville, TN 37248. Child Care Certificate Program Income eligibility Limits and Parent Co-Pay Fee Table - Fiscal Year 2021-2022.