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If the family is requesting to use an in-home caregiver, the WSP must ensure the family meets the criteria and advise the family. When the use of an in-home caregiver is allowable, the WSP must also confirm the name of the caregiver with each Request for PASS I Child Care CC1 or Manual Authorization Request Form – PASS I CC02 and document it in the comments section. The Designee will use prudent person judgment, when evaluating the request to authorize eligible units of care in the most practical way to meet the family’s needs. Note: The Request for PASS I Child Care CC1 and the Manual Authorization Request Form – PASS I CC02 forms are internal documents and are not valid authorizations and are not given to a family or provider.

The WSP are not to refer families or providers to the Designee or CCPO regarding the status of authorizations or with questions regarding the unit of care authorized. The WSP are responsible for ensuring the family understands the care authorized. The WSP are to communicate directly with the Designee if additional clarification is needed.

A Request for PASS I Child Care CC1 for a parent who is debarred is rejected using the rejection reason of “Family Ineligible.” The Designee will enter the information from the debarment case note into the note section of the rejection action for the Request for PASS I Child Care CC1 and copy the case note into CMS client notes advising the WSP the reason for the debarment. The WSP will work with the family to resolve the issue.

4040-3 D. CHILD CARE ASSISTANCE AUTHORIZATION DOCUMENT The Child Care Assistance Authorization document identifies the period of time within the family’s certification period for which care is authorized.

1. The Document also Identifies the: a. Designee agency and the agency’s contact information; b. The worker who created the authorization document; c. The PASS I case manager’s name and phone number,as applicable; d. Family name and mailingaddress; e. Provider name and mailing address; f. Children for whom child care is authorized, including: age