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Title 13: Social Service Resources Page 45 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Child Care Assistance Determining Eligiblity Revised June 14, 2024 Need for Service If, at the time of the family’s annual eligibility review, the family reports temporary medical incapacity as the need, approve a family under the medical incapacity need only if they were already receiving CCA for their children because the parents were employed or attending training before the onset of the medical incapacity. If a family with two parents reports one of the parents has a permanent disability, the family may be approved under the medical incapacity need if the disability is verified by a physician. Verify that the incapacitated parent is unable to work, attend training or care for their children by obtaining detailed documentation from the parent’s medical provider. You may request a Report on Incapacity, form 470-0447, a letter from the physician, or any other reasonable documentation that verifies the need for care. Place this verification in the file. The intent of this policy is to provide CCA to families in the following situations: ▪ To allow one parent in a two-parent household to continue to work, seek employment or pursue training while the other parent is temporarily unable to work or attend training. ▪ To provide child care for a single parent who is temporarily unable to work or attend training because they are medically unable to do so. NOTE: In the two situations above, the incapacitated parent must be unable to care for the children and must be expected to return to employment or training once the medical issue is resolved. ▪ To allow one parent in a two-parent household to continue to work or pursue training when the other parent has a long-term or permanent medical condition that prevents them from working, attending training or providing care for the children. NOTE: In this situation, the family does not need to be receiving CCA prior to the onset of the permanent disability. NOTE: In all of the situations described above, child care is being paid in order for a family to maintain employment or pursue training, or to allow a parent to recover from a temporary medical condition so that they may resume employment or training. NOTE: The number of units that can be approved for medical incapacity is limited. See Authorizing Services to determine the units of service. Care should be limited to a maximum of three months, unless the physician indicates a specific period of time that child care will be needed.