Page 7

4040-2 B. PASS I FAMILY ELIGIBILITY DATES ............................... 80 4040-3 AUTHORIZING CARE FOR A PASS I FAMILY ................................. 81 4040-3 A. CHILD CARE AUTHORIZATION DOCUMENT FOR A PASS I FAMILY ........................................................................ 89 4040-3 B. PASS I CHILDCARE AUTHORIZATION.......................... 91 4040-3 C. CHILD CARE AUTHORIZATION WORKSHEET CREATION FOR PASS I ........................................................ 95 4040-3 D. CHILD CARE ASSISTANCE AUTHORIZATION DOCUMENT ........................................................................... 98 4040-3 E. CHILD CARE ASSISTANCE AUTHORIZATION DOCUMENT CREATION FOR PASS I ........................... 101 4040-4 PASS I FAMILY REPORTS OF CHANGE........................................ 103 4040-4 A. CHANGES POSITIVELY IMPACTING THE PASS I FAMILY BENEFIT ............................................................... 104 4040-4 B. CHANGES NEGATIVELY IMPACTING THE PASS I FAMILY BENEFIT ............................................................... 104 4040-4 C. PASS I FAMILY CHANGE OF CHILD CARE PROVIDER ............................................................................. 104 4040-4 D. PROVIDER RATE CHANGES ............................................ 111 4040-4 E. SUPPLEMENTAL PAYMENT REQUEST – PASS I ....... 111 4040-5 PASS I NON-PAYMENT .................................................................. 113 4040-6 PASS I RENEWAL ............................................................................. 116 4040-7 PASS II CHILD CARE REFERRAL .................................................. 116 4040-8 PASS I FAMILY (CLIENT) CASE FILE DOCUMENTATION STANDARDS ..................................................................................... 117 4050 CHILD CARE ASSISTANCE FAMILY PASS II AND PASS III APPLICATION .................................................................................. 117 4050-1 PASS II TRANSITIONAL FAMILIES .............................................. 117