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Page 130 Iowa Department of Health and Human Services Employees’ Manual Case Maintenance Title 13: Social Service Resources Chapter G: Child Care Assistance June 14, 2024 Adverse Service Actions NOTE: Providers must be notified in writing that a client’s eligibility has changed or ended. Send the provider a Certificate of Enrollment, form 470-4444, or Provider Cancellation Letter as appropriate. Timely notification requirements do not apply, but the provider should be adequately notified of the change in service. Appeals Legal reference: 441 IAC 170.6(237A) Notify the applicant of the right of appeal when you notify the applicant of any adverse action. The Notice of Decision: Child Care, form 470-4558, contains the notice of appeal rights. Appeals for Child Care Assistance (CCA) may be made in writing, by telephone or in person. When an applicant wishes to appeal a decision, encourage the applicant to complete form 470-0487 or 470-0487(S), Appeal and Request for Hearing, but accept any written request. If you receive a verbal request to appeal, document the conversation on form 470- 0487 or 470-0487(S), Appeal and Request for Hearing. Complete the top section of the form by entering: ▪ The client’s information, ▪ The programs that are being appealed, ▪ “Per telephone conversation with the appellant on (date),” in the “tell us why you are appealing” section, and ▪ The reason that the client is appealing. Complete the worker section of the form as normal. Proceed according to 1-E, Responsibilities of Department’s Representative. Immediately submit the appeal form and the notice of adverse action to the Department’s Appeals Section. Forward a summary of the basis for the action to the Appeals Section within ten days. NOTE: Although providers cannot appeal a notice of decision that was sent to a parent, providers may appeal Department decisions that affect them at any time (such as amount of payment, denial of their provider agreement, or calculation of their half-day rate). When a provider wishes to appeal a Department decision, the procedure is the same as for a parent’s appeal.