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Page 120 Iowa Department of Health and Human Services Employees’ Manual Case Maintenance Title 13: Social Service Resources Chapter G: Child Care Assistance June 14, 2024 Reporting Changes Mrs. B reports on June 12 that her employment hours increased from 30 per week to 40 per week as of May 26, and she needs an increase in the number of units she is authorized to use. A notice of decision is sent to authorize the additional units with an effective date of June 12. Mrs. B is responsible to pay out of her own pocket for any units she used between May 26 and June 12 beyond the units originally authorized. Negative Changes Reported Changes are considered “negative” when benefits are reduced or canceled. When a negative change is reported, a timely notice is required. Examples of negative changes are: ▪ Employment termination and no new job reported within three months, ▪ Increase in income beyond 85 percent SMI. 85 Percent SMI Family Size Column A Family Size Column A 1 member $3,849 11 members $10,883 2 members $5,034 12 members $11,106 3 members $6,218 13 members $11,329 4 members $7,403 14 members $11,552 5 members $8,587 15 members $11,775 6 members $9,772 16 members $11,998 7 members $9,994 17 members $12,221 8 members $10,216 18 members $12,444 9 members $10,438 19 members $12,667 10 members $10,660 20 members $12,890 Add $223 for each additional person over 20 members. When a negative change is reported, the effective date on the notice of decision must be ten calendar days after the date the notice was sent. The timely notice period begins the day after the notice of decision is mailed. The provider can bill the Department for services provided during the timely notice period (from the date the notice is issued through the effective date of cancellation) when: ▪ The client continues to take the child to the provider, or ▪ The client does not withdraw the child. The provider may bill for up to four days of absence. The provider cannot bill the Department for services provided during the timely notice period when the client withdraws the child.