In states where this occurs, the differential payments include providers who meet higher standards such as accreditation, providers who offer additional services such as serving children with special needs, or providers located in very low-income areas where none of the families can afford to pay the actual cost of care. In the latter case, the price of care in these areas is below the market rate. Special Fees Special fees can present serious problems to low income families if they are not included in the Tribe's rate payments. The Tribe needs to consider market practices when establishing policies regarding the payment of special fees. The Tribe could pay these fees or add them to the base rate when establishing rate ceilings and reimbursing providers.
Some providers charge the families less for second or succeeding children in the same family.
However, the cost of care per child does not change even though there are multiple children from the same family in child care. Therefore, the Tribe needs to reimburse the provider on a per child basis regardless of the number of children from one family who are in care. The CCDF regulations do not establish attendance requirements for children receiving child care services. Therefore, the Tribe has flexibility in determining policies to cover payment for absences, vacations or breaks in service. These policy decisions can be stated in the CCDF Tribal Plan.