Fee Schedule for Adoption-Related Services

Transcription

1 STATE OF TENNESSEE DEPARTMENT OF CHILDREN S Division of Licensing Cordell Hull Bldg., 9 th floor th Ave. N. Nashville, TN (615) Fee Schedule for Adoption-Related Services

2 Introduction The following document is a comprehensive list of all agencies licensed to provide adoption-related services within the State of Tennessee and their associated fee schedules. All data, including contact information, service rates, service descriptions, etc. is provided directly by each licensed agency. This information is gathered, compiled and published annually by the Tennessee Department of Children s Services Division of Licensing. Please note that this information is provided in a truncated format and therefore lists only general fee schedules for comparison purposes. More specific fee information may be obtained by contacting each agency directly. All fee schedule data is subject to change so please confirm current service rates with the individual agencies. Some agencies may not be represented on this schedule due to licensure after, or failure to submit agency data by, the publication date. A current fee schedule should be requested from any agency you may be considering, whether or not it is included on this list. If you are attempting to verify information on an agency that has not been included in this schedule, please contact DCS Licensing at (615) for additional information. A Note From DCS Licensing Regarding Consumer Awareness Many children are currently in need of a loving, permanent family, and the process of opening one s home to a child in need can be one of the most beautiful and significant events in the lives of both children and adoptive parents. The State of Tennessee offers many quality options for adoption-related services. However, as with any fee-based business transaction, it is still important to take time to become familiar with the process and to compare the cost, quality and scope of services among each of the agencies providing these services. We encourage each prospective adoptive family to research an agency s itemized fees; type of accreditation, if applicable; licensing status and history; liability insurance, etc. and to please read the contract carefully. Tennessee s laws and regulations are in place to help protect both the child and the family (as consumer) but once a legal and binding contract has been signed, our offices have very few avenues for corrective action or in assisting a disappointed client seeking redress. Please also ensure that the agency you are engaging is licensed to provide adoption-related services within the State of Tennessee. Many internet-based adoption services are not effectively regulated and seeking redress through consumer-protection laws for programs not licensed in Tennessee can be a difficult and costly process. We want to ensure your adoption offers a beautiful and rewarding experience for all involved and a little homework goes a long way in ensuring that outcome.

3 We wish each of you the best of luck in your endeavors and please feel free to contact the DCS Division of Licensing if our offices can ever be of any assistance to you. Section I- Fee Schedule for Domestic Adoption-Related Services * Denotes international rates are also included in domestic summary

4 Adoption Assistance, Inc Windwood Lane, Nashville, TN Carole Ozment, LCSW Fax: (c)3 Status: Exempt Fee Schedule for Adoption Related Services FY2014 Orientation Fee: Application Fee: Home Study: Agency adoption Independent adoption New adoption, previous client New adoption, previous home study with another agency Home Study Update: Addendum: With visit Without visit Placement Fee: Post Placement Supervision Visit: OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication Other: (Please specify) BIRTH PARENT : Other: (Please specify) RANGE OF FEE OR $50.00 due with application $1500 due upon completion $1000 due upon completion $600 due upon completion $1000 due upon completion $275 - $750 due upon completion $100 due upon completion $50 due upon completion $50 court report, due upon completion $150 per report, due upon completion

5 A full refund of the home study fee will be issued if no visits are made and family postpones/cancels adoption plans. A partial refund will be issued if the family postpones/cancels adoption plans following visits or writing of reports.

6 Adoption Consultants in Tennessee, Inc Shallowford Rd. Knoxville, TN (865) 501(c)3 Status: Non-Exempt RANGE OF FEE OR Orientation Fee: Application Fee: $250 Home Study: $1,000 (Knox County); additional charges for out-of-county service Home Study Update/Addendum: $500 (Knox County); additional charges for out-of county service (included in post placement fee Placement Fee: $10,000 Post Placement Supervision Visit: $100 per hour OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication Other: (Please specify) BIRTH PARENT : Other: (Please specify) Coordination activities N/C Individually determined; adoptive family responsible N/C if routine Current Federal Rate $100 per hour $100 per hour Current Carrier Rate Determined on case by case basis N/C for initial interview $100 if placement elected $100 per hour

7 Adoption Services * 2185 Wickersham Lane Germantown Tenn ellen.rardin@gmail.com Status: Non Exempt For Profit Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: $ Placement Fee: $ Post Placement Supervision Visit: $ RANGE OF FEE OR $ FOR DOMESTIC HOMESTUDY DEPENDENT ON REQUIREMENTS $ INTERTIOL HOME STUDY $ $ DEPENDING ON REQUIREMENTS AND CONTENTS/DATE OF ORIGIL HOMESTUDY OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication BIRTH PARENT :.55 PER MILE $90.00 PER HOUR After initial mailing of homestudy $7.00 for other copies $15.00 if placement agency requires all supporting documents $90.00 per hour $90.00 per hour

8 Fees for International Adoption Services Adoption and Pregnancy Services, Inc Hixson Pike, Chattanooga, TN Anita Rivers, LCSW (c)3 Status: Non exempt (for profit) RANGE OF FEE OR Orientation or Agency Fee: Application Fee: 250 Home Study: 1850 Home Study Update/Addendum: 750 International Adoption Training: Included with homestudy process Dossier Preparation Assistance: Post Placement Supervision: 250 each visit 200 federal rate per mile out of county : 100 per hr & Authentication Fees: As incurred CIS: FBI Finger Prints: Foreign Fee: Exit Documents: DCS clearance other states 25 Additional reports/services requested by 100 hr international agency fee 100 hr

9 Adoption Promises P.O. Box 654, Smyrna, TN Joanne Zambo/ (c)3 Status: Neither RANGE OF FEE OR Orientation Fee: None Application Fee: None Home Study: $1300 Home Study Update/Addendum: $350 None Placement Fee: None Post Placement Supervision Visit: $350 OPTIOL/ADDITIOL EXPENSES Interstate Services None Birthparent/infant medical/living expenses Facilitation of Post adoption communication None None None None None Other: (Please specify) Update a Home Study from another agency $600 BIRTH PARENT : Other: (Please specify)

10 Agape 4555 Trousdale Drive Nashville, Tennessee agapenashville.org Exempt- Non-Profit RANGE OF FEE OR Orientation Fee: $ Application Fee: Half of Home Study Fee due when applying Home Study: $1,2000; $1, for Independent Study Home Study Update/Addendum: $250 annual update, $750 if original approved home study is less than 5 years old, $1,000 if home study if more than 5 years old Placement Fee: 15% of gross combined income, Min: $10,000, Max: $20,000 Post Placement Supervision Visit: $ for Independent Adoption, $150 per visit if more than three visits are required by oversight agency OPTIOL/ADDITIOL EXPENSES Interstate Services $ Birthparent/infant medical/living expenses Facilitation of Post adoption communication $0.45 per mile for trips over 80 miles Negotiated Internet Listing $ BIRTH PARENT : $50.00 per hour

11 A Lifetime of Love Adoptions 1315 East Castle Street, Bldg. D, Office 2, Murfreesboro, TN (c)3 Status: Non-Exempt RANGE OF FEE OR Orientation Fee: (included with Home Study fee) Application Fee: (included with Home Study fee) Home Study: $ Home Study Update/Addendum: $400 (included with Home Study fee) Placement Fee: (included with Home Study fee) Post Placement Supervision Visit: $250 per visit plus mileage OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication BIRTH PARENT : Rates and ranges listed on our website $50 per hour

12 America World Adoption 616 Hays Blackman Loop, Antioch, TN Bethany Martin, ext (c)3 Status: Exempt RANGE OF FEE OR Orientation Fee: Application Fee: $100 Home Study: $1500 Home Study Update/Addendum: $175-$450 $100-$225 Placement Fee: Post Placement Supervision Visit: $150 per report, $75 for an additional child OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication $0.565 per mile when over 20 mile round trip $100 for overnight stays $20 Additional Visit $100 BIRTH PARENT :

13 Appalachian Family Outreach, Inc. 805 Tiger Creek Road Roan Mountain, TN Larry Rose; (423) ; lrose@appfamily.org Agency Web Address: 501(c)3 Status: Exempt RANGE OF FEE OR Orientation Fee: n/a Application Fee: n/a Home Study: $1,200 Home Study Update/Addendum: 0 - $600 $300 Placement Fee: $4,700 when applicable Post Placement Supervision Visit: $100/visit OPTIOL/ADDITIOL EXPENSES Interstate Services $200 $35/day Birthparent/infant medical/living expenses At cost Facilitation of Post adoption communication n/a IRS Rate At cost up to maximum of $100/day n/a n/a n/a BIRTH PARENT : n/a $75/hr. n/a

14 Bethany Christian Services of Greater Chattanooga 400 S. Germantown Road, Chattanooga, TN ; or 501(c)3 Status: Exempt RANGE OF FEE OR Orientation Fee: TRAINING FEE $1, Application Fee: $ Home Study: $1, Home Study Update/Addendum: $ Placement Fee: $10, Post Placement Supervision Visit: Included in Placement Fee ($250/visit) OPTIOL/ADDITIOL EXPENSES Interstate Services 0 0 Birthparent/infant medical/living expenses $2, Facilitation of Post adoption communication Support Services $2, Networking/Marketing Fee $2, BIRTH PARENT : 0 0

15 Bethany Christian Services of West Tennessee 1044 Brookfield Rd, Ste 102, Memphis, TN Michael McDonald, Executive Director ( ) 501(c)3 Status: Exempt Non Profit RANGE OF FEE OR Orientation Fee: Application Fee: $ Home Study: $1,450.00, $1,500 independent family Home Study Update/Addendum: $250 BCS family, $500 independent family Included in placement fee for BCS family, $300 independent family Placement Fee: $12,500 - $27,000 (based on income) Post Placement Supervision Visit: $200 BCS family, $300 independent family OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication Other: (Please specify) BIRTH PARENT : Other: (Please specify) $350 independent family $25 per day independent family Actual expense amount $300 independent family $.48 per mile beyond 50 mile radius of BCS $50/hr, independent family $100/hr, independent family Actual expense amount $350 independent family $100/hr independent family

16 Bethany Christian Services 220 Athens Way, Ste. 405, Nashville, TN Michael McDonald, Exempt RANGE OF FEE OR Orientation Fee: Application Fee: $1000 Home Study: $2000 Home Study Update/Addendum: $300 Placement Fee: $16,800-34,000 Post Placement Supervision Visit: $300 (if independent placement) OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses $3000 Facilitation of Post adoption communication Background Checks $188 BIRTH PARENT :

17 Catholic Charities of East Tennessee, Inc Lake Brook Blvd. Knoxville, TN (865) ccetn.org 501(c)3 Status: Exempt RANGE OF FEE OR Orientation Fee: Application Fee: $250 Home Study: $1,500 Home Study Update/Addendum: $750 $100 included in post placement fee Placement Fee: $5,000 - $10,00 Post Placement Supervision Visit: $100 per hour OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication BIRTH PARENT : Individually determined Current Federal Rate $75 per hour Current Federal Rate Determined on case by case basis $100 if placement elected

18 Catholic Charities of TN, Inc. 30 White Bridge Road, Nashville, TN Donna Thomas cctenn.org 501(c)3 Status: Exempt RANGE OF FEE OR Orientation Fee: Application Fee: $ for agency domestic adoptions Home Study: $ Home Study Update/Addendum: $ for addendum, $400 minimum for update $ Placement Fee: 15% of gross annual income (at time of placement with a minimum of $6000 and a maximum of $18,000. Post Placement Supervision Visit: Included in placement fee for agency adoptions, $200 a visit for independent adoptions OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication Included in placement fee for agency adoptions, $25.00 a day plus expenses, such as mileage, medication etc. for independents Maximum of $720 for housing, utilities, food, $250 for infant foster care, $1800 for medical expenses. Any cost over that is discussed with the potential adoptive family and the agency attorney. Included in agency placement fee, State of Tennessee rate for reimbursement at time of travel in independents. See above $ an hour for independents FedEx, etc charged at actual expense in independents BIRTH PARENT :

19 Correspondence with other agencies Continuing Education Classes offered by Catholic Charities Custody Studies $50.00 and hour $10.00 a person, $25.00 a couple $500 minimum

20 Crossroads Integrated Health Services, Inc./ POC Karan E. Goins, LCSW 929 W 1 st North Street, Suite A, Morristown, TN / karangoins@hotmail.com 501(c)3 Status: does not apply RANGE OF FEE OR Orientation Fee: Application Fee: Home Study: $ Home Study Update/Addendum: $ Placement Fee: Post Placement Supervision Visit: $ OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication $.55 per mile outside Hamblen County BIRTH PARENT : $125.00

21 Frontier Health Sherri Feathers, (423) Frontierhealth.org 501(c)3 Status: Exempt RANGE OF FEE OR Orientation Fee: Application Fee: $100 Home Study: $1,000 Home Study Update/Addendum: $400 Placement Fee: Post Placement Supervision Visit: $85 /visit OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication BIRTH PARENT : FBI Fingerprinting - $45 per adult

22 Greater Chattanooga Christian Services P O Box Chattanooga, TN gccs@ourgccs.org ourgccs.org 501(c)3 Status: Exempt RANGE OF FEE OR Orientation Fee: Application Fee: $ Home Study: $ Home Study Update/Addendum: $ per visit, plus mileage Placement Fee: Determined on case basis Post Placement Supervision Visit: $ adm. Fee/$ per visit OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication BIRTH PARENT :

23 Hannah s Hope 5676 Stage Rd Bartlett, TN Ph: office@hannahs-hope.org 501(c)3: Exempt Orientation Fee: Application Fee: $200 Home Study: $1000-$1200 Home Study Update/Addendum: $500-$600 $250 RANGE OF FEE OR n/a Placement Fee: $11,500 - $20,000 Post Placement Supervision Visit: $250 (+mileage) OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication BIRTH PARENT : Fees are case specific $20/night As needed Included in placement fees IRS rate $100/hour Actual costs $100/hour for private adoptions

24 Harmony Family Center, Inc 118 Mabry Hood Road, Suite 400, Knoxville TN Pam Frye at C/Not for Profit Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Placement Fee: Post Placement Supervision Visit: OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication BIRTH PARENT : RANGE OF FEE OR None None $1,000 for domestic $100 per hour $200 per report $2000 for infant placement $200 per visit and report Based on actual costs.46 per mile $100 per hour Based on actual costs Based on actual costs No cost for birth parents, $100 per hour if matched with family or contracted No cost for birth parents, $100 per hour if matched with family or contracted

25 Heaven Sent Children Adoption, a division of The Center for Family Development 1800 S. Rutherford Boulevard, Suite 201, Murfreesboro, TN Cindy Posey, cindy@heavensentchildren.com 501(c)3 Status: Exempt RANGE OF FEE OR Orientation Fee: Application Fee: $200 Home Study: $1,500 Home Study Update/Addendum: $400 Placement Fee: $10,000-$21,000 based on income Post Placement Supervision Visit: $250 OPTIOL/ADDITIOL EXPENSES Interstate Services $200 (if needed) $50/day Birthparent/infant medical/living expenses Up to $2,500; varies with each adoption situation Birth Parent & Legal Work to $5,000 Terminate Parental Rights Facilitation of Post adoption communication.46/mile above 100 miles per visit Expedited Home Study $500 in addition to the home study fee BIRTH PARENT :

26 Holston United Methodist Home for Children 407 Holston Drive, Greeneville, TN (c)3 Status: Exempt RANGE OF FEE OR Orientation Fee: Application Fee: $200 Home Study: $1200 (In State), $1400 (With ICPC Involvement) Home Study Update/Addendum: $300 $150 Placement Fee: Post Placement Supervision Visit: $150 per visit OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication Other: Preliminary or Expedited Home Study Fee BIRTH PARENT : (Included in the Home study fee) $.50 per mile to/from the social worker s office and adoptive home, per trip to the home $90 per hour $600

27 Jewish Family Service/The Adoption Connection 6560 Poplar Avenue, Memphis, TN (901) www. jfsmemphis.org 501(c)3 Status: Exempt Non Profit RANGE OF FEE OR Orientation Fee: Application Fee: $ Home Study: Home Study Update/Addendum: Less than year $350.00; 1-5years Domestic $ Included in post placement Placement Fee: 21,500, if JFS places infant Post Placement Supervision Visit: $ OPTIOL/ADDITIOL EXPENSES Interstate Services No additional fee $20.00 per day plus expenses Birthparent/infant medical/living expenses Usually included in placement fee Facilitation of Post adoption communication No additional charge Current government rate ($.565) Actual if any in addition to mileage $90.00/hour Actual if anything other than US Post Office Double normal fees BIRTH PARENT : No fees to birthparents

28 Jewish Family Service of Nashville and Middle Tennessee, Inc. 801 Percy Warner Blvd., Nashville, TN Phone: (615) (c)3 Status: Exempt Non Profit RANGE OF FEE OR Orientation Fee: Application Fee: $200 Home Study: Preliminary: $300 Full and complete: $1400 Home Study Update/Addendum: Update: $500-$1000 Addendum: $75 per page Court Report: $150 Sealing Records: Placement Fee: Post Placement Supervision Visit: $200 per visit for Instate adoption ($50 per additional child), $225 per visit/report for Interstate adoption ($50 per additional child) OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication BIRTH PARENT : IRS allowed rate $30 per hr for travel outside Davidson County Cost of actual Fed Ex/Overnight charges Information meeting: $80 (applied to cost of home study if PAP wants to proceed) JFS will mail home study and supporting documents to up to two placing agencies. Then the charge is $50 per additional agency. For any additional services not on this fee list, the charge is $80 per hour. 3 sessions free to any birthparent. When birthparent has been matched with PAP, any sessions over three will be billed to PAP.

29 Life Choices of Memphis, Inc Raleigh Lagrange, Memphis, TN / exempt Non Profit RANGE OF FEE OR Orientation Fee: $50.00 Application Fee: $ Home Study: $ agency/$ private-attorney Home Study Update/Addendum: $ No cost for agency adoption/$100 for private-attorney adoption Placement Fee: 15% of AGI, $10,00 minimum, $20,000 max Post Placement Supervision Visit: No cost for agency adoptions/$150 per visit for private-attorney adoptions OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication Other: (Please specify) BIRTH PARENT : No cost $10 day Case by case within parameters of the law No cost.40/mile outside Shelby County for privateattorney adoptions No cost No cost No cost No cost No cost for agency/ $ 75 hour for private-atty paid by adoptive couple

30 Lifeline Children s Services 2104 Rocky Ridge Road Birmingham, AL lifeline@lifelinechild.org 501(c)3 Status: Exempt RANGE OF FEE OR Orientation Fee: Application Fee: $ Home Study: $ Home Study Update/Addendum: $ Placement Fee: $14,000 20,000 Post Placement Supervision Visit: $ OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses $ 3,000 (included in placement fee when applicable) Facilitation of Post adoption communication Program Fee $ 4, BIRTH PARENT :

31 Mercy Ministries of America P.O Box Nashville, TN Joy Denny- Director of Adoptions (c)3 Status: Exempt RANGE OF FEE OR Orientation Fee: $0 Application Fee: $25 Application Fee & $200 Application Processing Fee Home Study: (Don t provide will need outside agency to complete) Home Study Update/Addendum: $0 Placement Fee: $0 Post Placement Supervision Visit: (Don t provide will need outside agency to complete) OPTIOL/ADDITIOL EXPENSES No set agency cost Only charge families for actual expenses incurred Interstate Services General range of $ Birthparent/infant medical/living expenses Facilitation of Post adoption communication $0 $0 $0 $0 Other: (Please specify) $0 $12 a day Any Birthparent/Infant medical costs not covered by TennCare $.565 per mile incurred by Interim Care families Per placement needs Mailing Birthfather paperwork and ICPC documents BIRTH PARENT : $0 $0 Other: (Please specify) $0

32 Miriam s Promise 522 Russell St Nashville, TN info@miriamspromise.org or drobinson@miriamspromise.org 501(c)3 Status: Exempt RANGE OF FEE OR Orientation Fee: Application Fee: $200 Home Study: $1200 Home Study Update/Addendum: $90 per hour $150 Placement Fee: Sliding Scale Based on Income $ $18,000 Post Placement Supervision Visit: $200 plus mileage OPTIOL/ADDITIOL EXPENSES Interstate Services $1400 $20 per day Birthparent/infant medical/living expenses Facilitation of Post adoption communication $90 per hour Current federal rate $90 per hour $90 per hour Current postage rate $90 per hour BIRTH PARENT : Fees will be assessed if services to birth parents are in conjunction with an independent placement arrangement

33 Monroe Harding, Inc Glendale Lane Rhonda C. Allen ext Status: Exempt RANGE OF FEE OR Orientation Fee: Application Fee: Home Study: $ Home Study Update/Addendum: $ Placement Fee: Post Placement Supervision Visit: OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication BIRTH PARENT :

34 Options 4 Adoption, Inc. Local: 920 Woodmont Blvd, Unit O6, Nashville, TN, Main: 5957 Henley Drive, Powder Springs, GA, Kelly Barth, (770) Kelly@options4adoption.com Agency Web Address 501(c)3 Status: Non exempt RANGE OF FEE OR Orientation Fee: 0 Application Fee: $100 Home Study: $1250 plus mileage Home Study Update/Addendum: $700/$150 $200 Placement Fee: Post Placement Supervision Visit: $250 plus mileage OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication BIRTH PARENT : we do not place children At current IRS guidelines we do not place children

35 Porter-Leath 868 N. Manassas Memphis, TN (901) Lillian Hampton 501(c)3 Status: (Exempt) Non Profit RANGE OF FEE OR Orientation Fee: $50 Application Fee: $500 Home Study: $1200 Home Study Update/Addendum: $600 $700 Placement Fee: $7,000 Post Placement Supervision Visit: $150 per visit +.44 cents per mileage OPTIOL/ADDITIOL EXPENSES Interstate Services $750 Birthparent/infant medical/living expenses Facilitation of Post adoption communication $75 per hour.44 cents per mile $45 per day $125 per hour $150 $500 BIRTH PARENT : Other: (Please specify)

36 Small World 1550 N. Mt. Juliet Rd. Mt. Juliet Tennessee Jim Savley Tax exempt Non Profit RANGE OF FEE OR Orientation Fee: Application Fee: $300 Home Study: $2,000 Home Study Update/Addendum: Addendum Free Update $1,200 $2,000 Placement Fee: $15,000 Post Placement Supervision Visit: $1,000 OPTIOL/ADDITIOL EXPENSES Interstate Services inclusive inclusive Birthparent/infant medical/living expenses $5,000 Facilitation of Post adoption communication Inclusive Inclusive Inclusive Inclusive Inclusive Inclusive Inclusive BIRTH PARENT : Inclusive $3,000 paid by Adoptive Parents Other: (Please specify) Surrender - $2,000

37 Tennessee Children s Home-East 8560 Harold Duncan Way Knoxville TN Tennesseechildrenshome.org Exempt RANGE OF FEE OR Orientation Fee: Application Fee: Home Study: 1, Home Study Update/Addendum: Placement Fee: 5,000 9,000 Post Placement Supervision Visit: International Home Study 1, OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication per mile As used Expedited Home Study 1, BIRTH PARENT : No Charge

38 Youth Villages 5515 Shelby Oaks Memphis, TN Agency Contact: Shelley Richards youthvillages.org 501(c)3 Status: Exempt Non Profit RANGE OF FEE OR Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Placement Fee: Post Placement Supervision Visit: OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication Court Reports and Preplacement Summary Fees BIRTH PARENT :

39 Section II- Fee Schedule for International Adoption-Related Services

40 Fees for International Adoption Services Bethany Christian Services of West Tennessee 1044 Brookfield Rd, Ste 102, Memphis, TN Michael McDonald, Executive Director (c)3 Status: Exempt Non Profit RANGE OF FEE OR Orientation or Agency Fee: Application Fee: $ Home Study: $1,500 BCS family, $2,500 independent family Home Study Update/Addendum: $500 BCS family update, $600 independent family update; $250 addendum fee International Adoption Training: Dossier Preparation Assistance: $100/hr independent family Post Placement Supervision: $1,750 BCS family, $350/visit independent family Included in placement fee for BCS family, $300 independent family /: $.48 mile beyond 50 mile radius of BCS : $100 hr independent family & Authentication Fees: Actual expense CIS: FBI Finger Prints: $42.00 per person Foreign Fee: Exit Documents: Other (please specify)

41 Fees for International Adoption Services Bethany Christian Services 220 Athens Way, Ste. 405, Nashville, TN Michael McDonald Exempt RANGE OF FEE OR Orientation or Agency Fee: Application Fee: $550 Home Study: $2100 Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: $2000 /: : & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other (please specify)

42 Fees for International Adoption Services Crossroads Integrated Health Services, Inc./ POC Karan E. Goins, LCSW 929 W 1 st North Street, Suite A, Morristown, TN / karangoins@hotmail.com 501(c)3 Status: does not apply RANGE OF FEE OR Orientation Fee: Application Fee: Home Study: $ Home Study Update/Addendum: $ Placement Fee: Post Placement Supervision Visit: $ OPTIOL/ADDITIOL EXPENSES Interstate Services Birthparent/infant medical/living expenses Facilitation of Post adoption communication $.55 per mile outside Hamblen County BIRTH PARENT : $125.00