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Appendix A

Each State must provide the following information on the TANF program (for the previous fiscal year):

(1) The State's definition of each work activity;

(1) A description of the transitional services provided to families no longer receiving assistance due to employment;

• For cases closed due to income, Employment Career Services are available for up to 12 months.
• For up to twelve months after case closure, the counseling services available through Family Services Counseling are available to the adults and children of former Families First cases. These services are not available to "child only" cases.
• For up to eighteen months after case closure, the First Wheels revolving car loan program is available to adults of former Families First cases. The car loan can be for up to a maximum of 36 months. Therefore, the benefit of this program can extend for a maximum of 54 months after case closure. Not available to Child Only cases.
• While Transitional Child Care is available to all families who leave (unless they are closed due to child support sanction, were a child only case or all members moved out of state), these services are paid for through the Child Care Development Fund.

(3) A description of how a State will reduce the amount of assistance payable to a family when an individual refuses to engage in work without good cause pursuant to 45 CFR 261.14 of this chapter.

Please refer to the "State of Tennessee Temporary Assistance for Needy Families Program State Plan" page 13 (first full bullet point, beginning “Sanctions”) to describe sanctions for non-cooperation with the Families First work requirements. In addition, to the description there, it is important to note that the first work sanction results in ineligibility from Families First until compliance. Any second or subsequent sanctions from the Families First program results in ineligibility for three months AND until compliance.

Please refer also to page 3 (Goals, Results and Public Involvement Item E) for mention of our third party review of case closures due to sanctions.

(4) The average monthly number of payments for child care services made by the State through the use of disregards, by the following types of childcare providers:

The state averages 652 cases per month using a childcare disregard to purchase child care. This represents 1.2% of our average caseload, excluding child only cases. Using a survey containing 1280 current Families First participants, we identified those who should be getting a disregard by screening for the following answers:
• Reported children in child care and;
• Reported not receiving Families First assistance with child care and;
• Reported paying some of their own money for child care

63 cases were identified, representing 4.9% of the Families First active sample. 65 child care arrangements were noted. While the sample may not be identical to the population of those receiving child care, as it relies on self-reporting, methods used in prior years also relied on some self reporting, and depended on much smaller samples.

(i) Licensed/regulated in-home child care; Not applicable in TN

(ii) Licensed/regulated family child care; 6.3%

(iii) Licensed/regulated group home child care; 0.0%

(iv) Licensed/regulated center-based child care; 79.4%

(v) Legally operating (i.e., no license category available in State or locality)
in-home child care provided by a nonrelative; 1.6%

(vi) Legally operating (i.e., no license category available in State or locality)
in-home child care provided by a relative; 5%

(vii) Legally operating (i.e., no license category available in State or locality)
family child care provided by a nonrelative; 0.0%

(viii) Legally operating (i.e., no license category available in State or locality)
family child care provided by a relative; 5%

(ix) Legally operating (i.e., no license category available in State or locality)
group child care provided by a nonrelative; N/A in Tennessee

(x) Legally operating (i.e., no license category available in State or locality)
group child care provided by a relative; and N/A in Tennessee

(xi) Legally operated (i.e., no license category available in State or locality)
center-based child care; N/A in Tennessee

(5) If the State has adopted the Family Violence Option and wants Federal recognition of its good cause domestic violence waivers under 45 CFR 260.50-58, then provide (a) a description of the strategies and procedures in place to ensure that victims of domestic violence receive appropriate alternative services and (B) an aggregate figure for the total number of good cause domestic waivers granted;

Please refer to Optional Certification, pages 15-16 in the "State of Tennessee Temporary Assistance for Needy Families State Plan" for a description of four strategies and procedures that are in place to ensure that victims of domestic violence receive appropriate alternative services. The aggregate figure for number served through our Family Services Counseling program for domestic violence in FY04 is an average of 546 monthly. The aggregate figure for the number of good cause domestic violence exemptions in FY04 is an average of 31 monthly. This figure is lower than those actually being granted Tennessee's Family Violence Option waivers due to the design of our program that maintains strict confidentiality boundaries between the domestic violence counselor and the DHS eligibility counselor. Because of this confidentiality, the eligibility counselor is not always aware of the employment or personal barrier that is the cause for program requirements being waived.

(6) A description of any non-recurrent, short-term benefits (as defined in 45 CFR 260.31(b)(1)) provided, including:

Auxiliary payments are issued to assistance groups that are ineligible for assistance due to sanctions, time limits, or any negative closure but have been identified as in danger of losing their shelter, utilities, custody of the child, or due to lack of food. These short-term benefits will be issued on a non-recurrent basis for a month at a time.

(i) The eligibility criteria associated with such benefits, including any restrictions on the amount, duration, or frequency of payments;

No restriction on duration. Payments can be made no more than once per month. Amounts are limited to the amount of the cash grant during the last month the family received cash benefits.

(ii) Any policies that limit such payments to families that are eligible for TANF assistance or that have the effect of delaying or suspending a family's eligibility for assistance; and

Payments are limited to former recipients who lost cash benefits for any reason other than excess income and resources, request for closure in writing, no children, moved out of state, children live with another caretaker or the only child died. Recipients of auxiliary payments are encouraged to come into compliance and to reapply for benefits. No policy has the effect of delaying or suspending a family’s eligibility for assistance.

(iii) Any procedures or activities developed under the TANF program to ensure that individuals diverted from assistance receive information about, referrals to, or access to other program benefits (such as Medicaid and food stamps) that might help them make the transition from welfare to work;

Tennessee has no diversion programs or policies.

(7) A description of the grievance procedures the State has established and is maintaining to resolve displacement complaints, pursuant to section 407(f)(3) of the Social Security Act. This description must include the name of the State agency with the lead responsibility for administering this provision and explanations of how the State has notified the public about these procedures and how an individual can register a complaint;

Please refer to pages 8-9 of "The State of Tennessee Temporary Assistance for Needy Families State Plan" where our displacement procedures are described in detail, including the state agency with the lead responsibility for administering this provision.

(8) A summary of State programs and activities directed at the third and fourth statutory purposes of TANF (as specified at 45 CFR 260.20(c) and (d) of this chapter).

(a) Prevent and reduce the incidence of out-of-wedlock pregnancies and establish annual numerical goals for preventing and reducing the incidence of these pregnancies.

• Each Families First family receives a family planning brochure from the DHS case manager.

(b) Encourage the formation and maintenance of two-parent families.

• Child Support Pass-through - Families receiving cash assistance can receive child support simultaneously with their cash assistance up to their unmet need. The unmet need is calculated by determining the difference between the standard of need and the family’s cash assistance plus income. Child support pass-throughs are disregarded in determining eligibility and cash grant payment amounts.
• Marriage During Receipt of Assistance – Families First has expanded eligibility for two- parent families who marry while on assistance. These individuals do not have the same deprivation of parental support eligibility standards that other two parent families have.
• The spouse who marries a Families First recipient will not be liable for the federal or state share of court ordered child support arrearages which are owed to a child or children in the assistance group so long as the spouse resides in the home.

(9) An estimate of the total number of individuals who have participated in subsidized employment under §261.30(b) or (c) of this chapter.

Tennessee does not offer subsidized employment in TANF.

Attachment B

Annual Report on State Maintenance-of-Effort Programs: Form ACF-204

State: TENNESSEE      Fiscal Year: 2005
Date Submitted: ___November 14, 2005__

Provide the following information for EACH PROGRAM (according to the nature of the benefit or service provided) for which the State claims MOE expenditures. Complete and submit this report in accordance with the attached instructions.

1. Name of Benefit or Service Program

Families First – TANF MOE
Assistance

2. Description of the Major Program Benefits, Services, and Activities:

This summary applies to TANF MOE funds as they apply to eligibility:

• Cash Grant
• Child Care Services
• Transportation/ Supportive Services (e.g. transportation assistance, limited vehicle repairs, vehicle related expenses, optical and dental assistance not covered by Medicaid)

3. Purpose(s) of Benefit or Service Program:

To provide financial assistance and support services to all eligible needy families in preparation for their move to self-sufficiency.

Please see page 4 paragraph A, as well as page 6 “Supportive Services” in the "State of Tennessee Temporary Assistance for Needy Families State Plan".

4. Program Type. (Check one)

_X_ This Program is operated under the TANF program.

___ This Program is a Separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

NA

6. Total State Expenditures for the Program for the Fiscal Year:
Cash Grants $59,516,946
Child Care $13,311,086
Transportation/Supportive Services $2,455,249

Total $75,283,281

7. Total State MOE Expenditures under the Program for the Fiscal Year:
Cash Grants $59,516,946
Child Care $0
Transportation/Supportive Services $2,455,249

Total $61,972,195

8. Total Number of Families Served under the Program with MOE Funds: 70615

This last figure represents (check one):

_X_ The average monthly total for the fiscal year.
___ The total served over the fiscal year.

9. Financial Eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

Please refer to the "State of Tennessee Temporary Assistance for Needy Families" State Plan" page 4 (third paragraph under II General Provision, Section A).

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No ___

11. Total Program Expenditures in FY 1995: _________________________
(NOTE: provide only if response on question 10 is No)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE:

NAME: Virginia T. Lodge

TITLE: Commissioner

Approved OMB No. 0970-0248 Form ACF 204, expires 5/31/06

Provide the following information for EACH PROGRAM (according to the nature of the benefit or service provided) for which the State claims MOE expenditures. Complete and submit this report in accordance with the attached instructions.

1. Name of Benefit or Service Program:

Families First – Separate State Program
Assistance

2. Description of the Major Program Benefits, Services, and Activities:

This summary applies to SSP Families First Program:

• Cash Grant
• Transportation/ Supportive Services (e.g. transportation assistance, limited vehicle repairs, vehicle related expenses, optical and dental assistance not covered by Medicaid)

3. Purpose(s) of Benefit or Service Program:

To provide financial assistance and support services to all eligible needy families in preparation for their move to self-sufficiency.

Please see page 4 paragraph A, as well as page 6 “Supportive Services” in the "State of Tennessee Temporary Assistance for Needy Families State Plan".

4. Program Type. (Check one)

____ This Program is operated under the TANF program.

_X_ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

NA

6. Total State Expenditures for the Program for the Fiscal Year:
Cash Grants $2,894,077
Transportation/Supportive Services $89,017

Total $2,983,094

7. Total State MOE Expenditures under the Program for the Fiscal Year:
Cash Grants $0
Transportation/Supportive Services $0

Total $0

8. Total Number of Families Served under the Program with MOE Funds: 1345

This last figure represents (check one):

_X_ The average monthly total for the fiscal year.

___ The total served over the fiscal year.

9. Financial Eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

Please refer to the "State of Tennessee Temporary Assistance for Needy Families" State Plan" page 4 (third paragraph under II General Provision, Section A).

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No ___

11. Total Program Expenditures in FY 1995: _________________________
(NOTE: provide only if response on question 10 is No)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE:

NAME: Virginia T. Lodge

TITLE: Commissioner

Approved OMB No. 0970-0248 Form ACF 204, expires 5/31/06

1. Name of Benefit or Service Program:

Work/Training Related Activities and associated Support Services—TANF MOE

2. Description of the Major Program Benefits, Services, and Activities:

This summary applies to TANF MOE Families First Program:

Work/Training Related Activities
• Education
• Job Skills Training
• Employment Career Services (including Career Assessment)
• Counseling for Domestic Violence, Substance Abuse, Mental Health, Child Behavioral Issues and Learning Disabilities
• Work Prep (life skills, basic work place skills)

Transportation
Child Care

3. Purpose(s) of Benefit or Service Program:

To move families from welfare to self-sufficiency in the shortest time possible by encouraging work and providing the education, training and support services needed for the family to gain and retain employment.

Please see page 6 "Goals for work and self-sufficiency" in the "State of Tennessee Temporary Assistance for Needy Families State Plan".

4. Program Type. (Check one)

__X_ This Program is operated under the TANF program.

____ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

NA

6. Total State Expenditures for the Program for the Fiscal Year:
Work Related Activities $16,275,376
Child Care $5,664,696
Transportation $1,519,969

Total $23,460,041

7. Total State MOE Expenditures under the Program for the Fiscal Year:
Work Related Activities $16,275,376
Child Care $0
Transportation $1,519,969

Total $17,795,345

8. Total Number of individuals Served under the Program with MOE Funds: 43,459

This last figure represents (check one):

_X_ The average monthly total for the fiscal year.

____ The total served over the fiscal year.

9. Financial Eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

Please refer to the "State of Tennessee Temporary Assistance for Needy Families" State Plan" page 13 (first full bullet point, beginning “Sanctions”).

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No ____

11. Total Program Expenditures in FY 1995: _________________________
(NOTE: provide only if response on question 10 is No)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE:

NAME: Virginia T. Lodge

TITLE: Commissioner

Approved OMB No. 0970-0248 Form ACF 204, expires 5/31/06

Provide the following information for EACH PROGRAM (according to the nature of the benefit or service provided) for which the State claims MOE expenditures. Complete and submit this report in accordance with the attached instructions.

1. Name of Benefit or Service Program:

Work/Training Related Activities and associated Support Services—Separate State Program

2. Description of the Major Program Benefits, Services, and Activities:

This summary applies to SSP Families First Program:

Work/Training Related Activities
• Education
• Job Skills Training
• Employment Career Services (including Career Assessment)
• Counseling for Domestic Violence, Substance Abuse, Mental Health, Child Behavioral Issues and Learning Disabilities
• Work Prep (life skills, basic work place skills)

Transportation

3. Purpose(s) of Benefit or Service Program:

To move families from welfare to self-sufficiency in the shortest time possible by encouraging work and providing the education, training and support services needed for the family to gain and retain employment.

Please see page 6 "Goals for work and self-sufficiency" in the "State of Tennessee Temporary Assistance for Needy Families State Plan".

4. Program Type. (Check one)

____ This Program is operated under the TANF program.

__X_ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

6. Total State Expenditures for the Program for the Fiscal Year:
Work Related Activities $703,337
Transportation $51,379

Total $754,716

7. Total State MOE Expenditures under the Program for the Fiscal Year:
Work Related Activities $0
Transportation $0

Total $0

8. Total Number of individuals Served under the Program with MOE Funds: 1,828

This last figure represents (check one):

_X_ The average monthly total for the fiscal year.

___ The total served over the fiscal year.

9. Financial Eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

Please refer to the "State of Tennessee Temporary Assistance for Needy Families" State Plan" page 13 (first full bullet point, beginning “Sanctions”).

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No ____

11. Total Program Expenditures in FY 1995: _________________________
(NOTE: provide only if response on question 10 is No)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE:

NAME: Virginia T. Lodge

TITLE: Commissioner

Approved OMB No. 0970-0248 Form ACF 204, expires 5/31/06

1. Name of Benefit or Service Program:

Child Support Pass-through

2. Description of the Major Program Benefits, Services, and Activities:

If child support is collected for a month in which a family receives cash assistance, the family can receive child support pass-through payments up to the amount of their unmet need. These funds are TANF MOE.

3. Purpose(s) of Benefit or Service Program:

To provide additional financial resources for families on assistance to aid in their transition to self-sufficiency.

4. Program Type. (Check one)

__X__ This Program is operated under the TANF program.

_____ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

NA

6. Total State Expenditures for the Program for the Fiscal Year:
$12,267,378

7. Total State MOE Expenditures under the Program for the Fiscal Year:
$12,267,378

8. Total Number of Families Served under the Program with MOE Funds: 25264

This last figure represents (check one):

_X_ The average monthly total for the fiscal year.

___ The total served over the fiscal year.

9. Financial Eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

Families receiving cash assistance may receive a child support pass-through if:
• Child support was collected for one of the eligible children for the month of assistance
• The family had an unmet need (the difference between the standard of need and the sum of the cash grant and the net income of the family)

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No ____

11. Total Program Expenditures in FY 1995: _________________________
(NOTE: provide only if response on question 10 is No)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE:

NAME: Virginia T. Lodge

TITLE: Commissioner

Approved OMB No. 0970-0248 Form ACF 204, expires 5/31/06

Provide the following information for EACH PROGRAM (according to the nature of the benefit or service provided) for which the State claims MOE expenditures. Complete and submit this report in accordance with the attached instructions.

1. Name of Benefit or Service Program:

Families First Program Administration—TANF MOE

2. Description of the Major Program Benefits, Services, and Activities:

Administrative, Systems, Case Management, and Evaluation expenses for the Families First Program benefits and services.

3. Purpose(s) of Benefit or Service Program:

Efficient and effective delivery of assistance and services to our clients.

4. Program Type. (Check one)

__X__ This Program is operated under the TANF program.

_____ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

NA

2. Total State Expenditures for the Program for the Fiscal Year:
$23,318,682

7. Total State MOE Expenditures under the Program for the Fiscal Year:
$23,318,682

8. Total Number of Families Served under the Program with MOE Funds: 70615

This last figure represents (check one):

_X_ The average monthly total for the fiscal year.

___ The total served over the fiscal year.

9. Financial Eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

Please refer to the "State of Tennessee Temporary Assistance for Needy Families" State Plan" page 4 (Section g. Culture Change) as it applies to case management.

Updates and modifications to systems and administrative policies, as well as evaluation processes, are constantly under review for potential improvements.

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No ____

11. Total Program Expenditures in FY 1995: _________________________
(NOTE: provide only if response on question 10 is No)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE:

NAME: Virginia T. Lodge

TITLE: Commissioner

Approved OMB No. 0970-0248 Form ACF 204, expires 5/31/06

Provide the following information for EACH PROGRAM (according to the nature of the benefit or service provided) for which the State claims MOE expenditures. Complete and submit this report in accordance with the attached instructions.

3. Name of Benefit or Service Program:

Families First Program Administration—Separate State Program

2. Description of the Major Program Benefits, Services, and Activities:

Administrative, Case Management and Evaluation expenses for the Families First Program benefits and services.

3. Purpose(s) of Benefit or Service Program:

Efficient and effective delivery of assistance and services to our clients.

4. Program Type. (Check one)

____ This Program is operated under the TANF program.

__X_ This Program is a separate State program.

5. Description of Work Activities (Complete only if this program is a separate State program):

NA

4. Total State Expenditures for the Program for the Fiscal Year:
$255,693

7. Total State MOE Expenditures under the Program for the Fiscal Year:
$0

8. Total Number of Families Served under the Program with MOE Funds: 1345

This last figure represents (check one):

_X_ The average monthly total for the fiscal year.

___ The total served over the fiscal year.

9. Financial Eligibility Criteria for Receiving MOE-funded Program Benefits or Services:

Please refer to the "State of Tennessee Temporary Assistance for Needy Families" State Plan" page 4 (Section g. Culture Change) as it applies to case management.

Updates and modifications to systems and administrative policies, as well as evaluation processes, are constantly under review for potential improvements.

10. Prior Program Authorization: Was this program authorized and allowable under prior law? (check one)

Yes _X_ No ___

11. Total Program Expenditures in FY 1995: _________________________
(NOTE: provide only if response on question 10 is No)

This certifies that all families for which the State claims MOE expenditures for the fiscal year meet the State's criteria for "eligible families."

SIGNATURE:

NAME: Virginia T. Lodge

TITLE: Commissioner

Approved OMB No. 0970-0248 Form ACF 204, expires 5/31/06

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