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Variable language will also be typed in, if necessary, to provide additional and/or specific unit of care or payment clarification(s) for a child or month included on the Child Care Assistance Authorization document.

Variable language must not include any specific parent information including a parent’s: eligible activity; place of employment; income; hours engaged in their activity; or the name of a child’s school; or hours the child will be in attendance.

c. Provider Changed: When authorized care is being canceled in the current month due to a provider change, the following statement is to be typed in the variable section of the Child Care Assistance Authorization document when it is re-issued to the provider who will no longer be caring for the child(ren), “REVISED. REPLACES CHILD CARE ASSISTANCE AUTHORIZATION DOCUMENT # (enter the number). Care is authorized through the 10-day notice timeframe of (Date - Date). Payment will be made for the days in the notice timeframe even if the child did not attend.”

If the parent chooses a secondary provider to cover the primary provider’s closure dates, care is to be requested up to the state maximum to cover this timeframe.

d. PASS I – Provider’s Own Rate: When it has been approved for payment at the provider’s rate instead of the State Rate, the following statement must be typed in the variable section of the Child Care Assistance Authorization document, “PASS I ONLY. Payment will be paid at the provider’s rate.”

e. SHARED CUSTODY – PART MONTH AUTHORIZEDFULL MONTH WARRANTED In shared custody situations where the parents are using a provider in two different CCAP service delivery areas, the Child Care Assistance Authorization document for the family who is issued a part month is to include the following statement in the variable section: Child (name) is authorized for a full month however, current system restrictions will not allow the authorization. Supplemental Payment Requests have been submitted for the months included.