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Title 13: Social Service Resources Page 95 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Child Care Assistance Authorizing Services Revised June 14, 2024 Unit of Service When CCA is approved based on medical incapacity, determine the number of units as follows: ▪ For a single parent family or for a two-parent family where both parents are incapacitated, the number of units authorized for the period of incapacity shall not exceed the number of units authorized for the family before the onset of incapacity. ▪ For a two-parent family where only one parent is incapacitated the units of service authorized shall be based on the need of the parent who is not incapacitated. When determining total units needed for a parent who requests sleep time during daytime hours, consider if the parent is requesting that child care be paid during the time the parent is working. If the parent is requesting units for both work time and sleep time, one unit of care may be approved for sleep time. If the parent is requesting units for sleep time only, two units of care may be approved. Supervisory approval is required when more than two units are approved per 24-hour period, up to a maximum of four units. Document the explanation of the number of units needed for service in the case file. Use this information to calculate the total daily and weekly units the parent needs and to complete schedules for the children in the KinderTrack system. See 14-H, KinderTrack System, for instructions on adding or editing a schedule. Fixed schedule examples:

1. Ms. S is a full-time student with an 18-month-old daughter. She attends classes three days per week from 11:00 a.m. to 2:00 p.m. and two days per week from 9:00 a.m. to 11:00 a.m. Including actual travel time, she is approved for one half-day unit for each of the five workdays that she is in classes. Her estimated weekly usage is five half-day units.