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Title 13: Social Service Resources Page 107 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. Determine which table to use for each child in the family by whether the child needs Basic or Special Needs care. 2. Move across the monthly income table to the column headed by the number of people in the family that was used in determining eligibility. 3. 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. 4. Repeat for each eligible child in the family. NOTE: When more than one child in a family receives services under the CCA Exit program, assess a fee on each child who receives care. Include documentation in the case file to support the fee. Comment:

1. Family A has two members, monthly income of $3,900, and one child in care. Family A’s income is above the Level A amount but less than the Level B amount. Family A pays a fee of 33% of the cost of child care for their child. 2. Family B has three members, monthly income of $5,100, and two children in care. Family B’s income is above the Level B amount but less than the Level C amount. Family B pays a fee of 45% of the cost of child care for each child receiving care. 3. Family C has three members, monthly income of $5,100, and two children in care. One child is special needs and one is not. For the special needs child, Family C’s income is above the Level A amount but less than the Level B amount in the Special Needs table. Family C pays a fee of 33% of the cost of child care for this child. For the other child, Family C’s income is above the Level B amount but less than the Level C amount in the Basic Care table. Family C pays a fee of 45% of the cost of child care for this child.