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Title 13: Social Service Resources Page 105 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Child Care Assistance Authorizing Services Revised June 14, 2024 Fee Schedule Procedure: Assess the amount of the fee by determining the gross monthly income according to family size. Use the same dollar amount that was calculated when determining eligibility. Use the sliding fee schedule as follows: 1. Move across the monthly income table to the column headed by the number of people in the family that was used in determining eligibility. 2. Move down that column for family size to the first row with an amount greater than the monthly family income. Use the row above that row to determine the fee amount. 3. Move across that row and choose the fee that corresponds to the number of children that need care. When more than one child in a family receives services under the CCA or CCA Plus programs, assess the fee on the child who receives the most units of service. Do not assess an additional fee for each child. Include documentation in the case file to support the fee. Comment:

1. Family D has two members, monthly income of $1,650, and one child in care. Family D’s income is above the Level A amount but less than the Level B amount. Family D pays $0.00 fee for each unit of child care. 2. Family F has three members, monthly income of $2,180, and two children in care. Family F’s income is above the Level B amount but less than the Level C amount. Family F pays $0.45 fee for each unit of child care that the child who receives the most units uses. 3. Family G has three members, monthly income of $2,180, and one child in care. Family G’s income is above the Level B amount but less than the Level C amount. Family G pays $0.20 for each unit of child care. For the CCA Exit program, assess a fee for each child in the household receiving child care services based on the following tables: