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Title 13: Social Service Resources Page 114 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Child Care Assistance Authorizing Services Revised June 14, 2024 Notice of Decision: Child Care You do not need to issue a new Notice of Decision: Child Care to account for minor fluctuations in work or training schedules. Make entries to case narratives to explain these fluctuations. However, if there are large or long-term changes to a person’s schedule, such as adding or dropping a class or working overtime on a regular basis, issue a new Notice of Decision. The client must report changes within ten days of the change to have extra child care covered by CCA. If the changes are not reported timely, the parent is responsible to pay for units used beyond those authorized. Comment: 1. Ms. A. has been working an average of 30 hours per week for the last three months. She is approved to use two units per day, five days per week. She contacts the Department on June 3 to report that she has been working 36 hours per week as of May 28 because she is now working six days per week. Since this change was reported timely, the worker sends Ms. A a new Notice of Decision: Child Care approving her for the extra units she needs effective retroactively to May 28. 2. Same scenario as Example 1, but Ms. B reports the change in hours on June 20. Since the change was not reported timely, Ms. B is responsible to pay out of her own pocket for any extra units she used between May 28 and June 19. A new Notice of Decision: Child Care is issued approving the extra units effective June 20, the date the change was reported. 3. Ms. A works full time at a local restaurant. She normally works Tuesday through Saturday from 7:00 AM until 2:30 PM. She has been approved for two units per day, up to ten units per week. Occasionally Ms. A will work late on Friday or Saturday because the restaurant is very busy. On the days she stays late, she uses a third unit of child care. These occasional, unexpected extra units can be paid to the provider even though not specifically covered in the Notice of Decision. The worker verifies that the extra units were necessary due to Ms. A working additional hours on those days and documents the situation in the case narratives to justify the units paid in excess of normal.