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Page 121 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 When determining if there is a CCA overpayment, consider the following: ▪ When a negative change is reported timely, there is no recoupment of CCA benefits used through the effective date of cancellation. ▪ When a negative change is not reported timely, CCA benefits used through the effective date of cancellation are subject to recoupment. 1. Mr. C contacts the CCA worker on June 2 to report that he quit his job on May 26. Since this change was reported in a timely manner, no recoupment of CCA benefits is necessary. 2. Mrs. D contacts the CCA worker on September 1 to report that she lost her job on May 20. A notice of decision is sent on September 2 canceling her CCA eligibility effective September 12. Since this change was not reported timely, the Department will recoup from Mrs. D any child care units she uses from August 21, the date the three month temporary lapse period expired, until September 12, the effective date of cancellation. See How to Determine When an Overpayment Occurred for more information about how to calculate overpayments. Changing Providers Legal reference: 441 IAC 170.2(4), 441 IAC 170.4(7) When parents wish to change their provider, it is important for them to inform both their old and new providers of the change before making the change, and to report this to their CCA or PROMISE JOBS worker in a timely manner. This is necessary so that the proper Notice of Decision: Child Care can be sent to the family, the new provider can be sent a Certificate of Enrollment, and the old provider can get a Provider Cancellation Letter. If the parent fails to inform the current provider before terminating services, the terminated provider has the right to bill the CCA program for up to four days of absence. This means that the new provider will not be able to receive CCA payments for these days, and the parent will be responsible for paying the new provider for any care provided during that time.