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4040-8 PASS I FAMILY (CLIENT) CASE FILE DOCUMENTATION STANDARDS Work Services Providers (WSP) client files must contain a signed original Parent Responsibility Agreement - PASS I CC03 at the family’s initial assessment and then again with every annual Family Progress Review for each parent who is requesting child care assistance. A Parent Responsibility Agreement – PASS I CC03 form is to be signed approximately every 12 months with each Family Progress Report. If a family states they do not need child care and does not foresee needing child care in the future, signing a Parent Responsibility Agreement – PASS I CC03 is not required. This conversation is to be documented in an electronic client note recorded in the Case Management System (CMS). If the family requests child care assistance in the future, the parent must sign a Parent Responsibility Agreement – PASS I CC03 and then again with every annual Family Progress Review.

The Family Self-Sufficiency Plan (FSSP) and copies of all issued Child Care Assistance Authorization documents, Manual Authorization Request Form – PASS I CC02, Supplement Payment Request CC06, and any modifications made must also be contained in the client file. In addition, an electronic client note is recorded in CMS. The WSP must provide clear documentation each time a Request for PASS I Child Care CC1 or Manual Authorization Request Form – PASS I CC02 is submitted.

Standardized templates are to be utilized to ensure anyone reviewing the information has a clear understanding of the unit of care requested to be authorized.

4050 CHILD CARE ASSISTANCE FAMILY PASS II AND PASS III APPLICATION To participate in the Child Care Assistance Program (CCAP) Parents Achieving Self-Sufficiency (PASS) II or PASS III, an acceptable Child Care Assistance Application CC08 and supporting verification must be submitted, an interview completed and the family determined eligible.

4050-1 PASS II TRANSITIONAL FAMILIES