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4110-2 B. CHILD CARE AUTHORIZATION WORKSHEET CREATION FOR PASS II AND PASS III Designees use the eligible units of care determined from information obtained from the family application and interview to create the child care authorization worksheet. A child specific authorization worksheet must be created for each month and each child within the family’s full certification period for each child care provider to be used unless there is a reason for a short authorization period, such as a child care provider’s eligibility expiring during the family’s certificationperiod. Typically, when the family’s benefit start date is the first (1st) day of the month and they are eligible for a full month of care, the date range used is the first (1st) through the last day of the month. Date ranges within a month are allowable to authorize care to a child care provider for a period of time up to and including the full month.

For situations when care is authorized to a secondary provider for a period of time beginning after the first (1st) of a month and/or ending before the last day of a month, such as spring break for school aged children, the date range is to be specific to that period of time.

For Example: Care is authorized for March 1 – 31 for a part month, for sixteen (16) part time days, to the family’s primary provider and for March 7 – 11, for a part month, to the secondary provider to cover spring break.

Designees are to refer to the ICCIS User Guide if questions arise regarding entering information into ICCIS.

4110-3 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 Parents Achieving Self-Sufficiency (PASS) I case manager’s name and phone number, as applicable;