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4040-3 E. CHILD CARE ASSISTANCE AUTHORIZATION DOCUMENT CREATION FOR PASS I Upon receipt of the Request for PASS I Child Care CC1 form or Manual Authorization Request Form – PASS I CC02, the Designee will process the request, the same day or next business day by accepting, rejecting or holding the request. If the request is held, the reason is documented in an ICCIS case note and CMS clientnote.

1. Accept When the Request for PASS I Child Care CC1 form or Manual Authorization Request Form – PASS I CC02 has been received and accepted the authorization worksheet is created. The date range is entered covering the month(s) care has been requested and any applicable variable language is selected or added to the document. A case note is automatically entered in ICCIS and automatically copied into a client note in CMS so the case manager is aware the request has been approved and authorized. The WSP has access to the authorization document in CMS and must print a copy for the family’s file. If a change of the family’s address listed on the Child Care Assistance Authorization document is needed, the WSP must notify the Designee of the needed change and provide the correct address for updating ICCIS.

PASS I authorizations should always have a $0 co-pay. If an authorization is issued for PASS I that includes an authorization, the error must be corrected. If the error is found after the provider has been paid, the error must be corrected and an Underpayment for the family must be completed.

The WSP must provide the Child Care Assistance Authorization document to the family either in-person or by mail to ensure the care authorized is to the correct child care facility and for the allowable care needed to cover the family’s required activities. The Designee provides a copy of the family’s Child Care Assistance Authorization document to the child care provider by mail. The case manager will send via email or fax a copy to the provider if they are aware it is needed sooner. When the Designee completes an authorization from a Child Care Assistance Manual Request CC02, the Child Care Assistance Authorization document is not generated in CMS. The Designee must send via email or fax the authorization to the WSP who will provide a copy to the family and maintain a copy in the family’s