Page 50

Title 13: Social Service Resources Page 44 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Child Care Assistance Determining Eligiblity Revised June 14, 2024 Need for Service If the child’s eligibility for foster care child care will be ending, the social worker will complete a new form 470-4895, Protective/Foster Care Child Care Documentation, and forwards it to the CCA unit. The CCA unit will use the information on form 470-4895 to make entries into KinderTrack to cancel child care for the child or children in the foster family. Medical Absence or Incapacity Legal reference: 441 IAC 170.2(2)“b” Policy: Families may continue to be eligible for CCA for a limited period when a parent who is normally employed or pursuing education is temporarily unable to do so because the parent is: ▪ Absent due to inpatient hospitalization, ▪ Absent due to outpatient treatment for a physical or mental illness, or ▪ Present in the home but unable to care for the child due to medical incapacity. Families may also be eligible for CCA when one parent in a two-parent household is permanently disabled and unable to be employed or pursue education and is also unable to care for the children. NOTE: Drug and alcohol treatment, either inpatient or outpatient, can be court ordered or voluntary. In most situations, the IM worker will determine eligibility for child care. If the Department is working with the family and the client has been court-ordered to attend drug or alcohol treatment, talk to the service worker to determine if protective CCA is part of the case plan for the family. If protective child care is not part of the case plan, the IM worker determines eligibility. Supervisory approval is required when more than two units of care are approved per 24-hour period, up to a maximum of four units per day. CCA cannot pay for 24-hour care. Participation in support groups, such as Alcoholic Anonymous or Narcotics Anonymous, is not considered treatment and does not meet the need for service for medical absence or incapacity. Procedure: Families do not need to verify medical incapacity if it is a temporary situation that occurs within an established certification period. See Temporary Lapse in Need.