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4120 FAMILY REPORTS OF CHANGE .................................................. 255 4120-1 PASS II AND PASS III FAMILY REPORTS OF CHANGE AFTER A PROGRAM APPROVAL DETERMINATION ................................. 259 4120-1 A. CHANGES POSITIVELY IMPACTING THE PASS II AND PASS III FAMILY BENEFIT ............................................... 263 4120-1 B. CHANGES NEGATIVELY IMPACTING THE PASS II AND PASS III FAMILY BENEFIT ............................................... 268 4120-1 C. PASS II OR PASS III CHANGE OF CHILD CARE PROVIDER ............................................................................. 279 4120-1 D. FAMILY APPLIES FOR TEMPORARY ASSISTANCE…279 4120-1 E. FAMILY SIZE AND NAME CHANGES ............................ 279 4120-1 F. PASS II OR PASS III ELIGIBLEACTIVITY ENDS ......... 284 4120-1 G. FAMILY REQUESTS CASE CLOSURE ............................ 287 4120-1 H. FAMILY MOVING OR CHANGING SERVICE DELIVERY AREA ........................................................................................ 288 4120-1 I. PROVIDER RATE CHANGES ............................................ 290 4120-1 J. PASS II OR PASS III FAMILY CHANGES NOT REQUIRING ADVERSE ACTION………………………….290 4130 PASS IV CHILD CARE ......................................................................291 4130-1 REGISTERING A PASS IV FAMILY................................................292 4130-2 PASS IV ELIGIBILITY DATES……………………………………………293 4130-3 AUTHORIZING CARE FOR A PASS IV FAMILY…………………..293 4130-3 A. CHILD CARE AUTHORIZATION DOCUMENT FOR PASS IV.................................................................................................298 4130-3 B. CHILD CARE AUTHORIZATION WORKSHEET CREATION FOR PASS IV…………………………………............................300 4130-3 C. CHILD CARE ASSISTANCE AUTHORIZATION DOCUMENT……………………………………………………..300 4130-4 PASS IV REPORTS OF CHANGE………………………………………..302 4130-4 A. CHANGES POSITIVELY IMPACTING THE PASS IV BENEFIT………………………………………………………….302 4130-4 B. PASS IV CHANGE OF CHILD CARE PROVIDER……302 4130-4 C. CHILD CARE PROVIDER RATE CHANGES………….304