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4110-3 C. USING VARIABLE LANGUAGE ON A CHILD CARE ASSISTANCE AUTHORIZATION DOCUMENT When the Designee determines a variable is needed or would provide clarifying information it will be added to the Child Care Assistance Authorization document by selecting a variable option in ICCIS and/or typing the guidance in. The Designee must follow the guidance provided below when selecting or entering variable language: 1. 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, the Designee will issue care up to the state maximum to cover this timeframe. See section 4100-3 Monthly Maximum Units of Care that can be Authorized.

2. SHARED CUSTODY – PART MONTH AUTHORIZED FULL 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 in this document for payment up to a full month.

4110-4 ISSUING APPROVAL NOTICE OF ELIGIBILITY DETERMINATION FOR PASS II AND PASS III BENEFITS Designees will approve a Parents Achieving Self-Sufficiency (PASS) II or PASS III family’s Child Care Assistance Application CC08 at the time