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Title 13: Social Service Resources Page 46 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Child Care Assistance Determining Eligiblity Revised June 14, 2024 Need for Service After the authorized period of care expires, additional child care may be approved if the family provides new documentation from their physician to verify continued need.

1. Mr. and Mrs. C apply for CCA for their two children. Mr. C works Monday- Friday, eight hours per day, while Mrs. C normally stays home and provides care for their children, ages one and three. Mrs. C will be admitted to the hospital for outpatient surgery on June 2, and will require six weeks of recovery time afterward. This family is not eligible for CCA because Mrs. C was not receiving CCA for the purpose of employment or attending training before the onset of her medical incapacity. 2. Mr. and Mrs. D apply for CCA for their grandchild. Mr. D works full time, Monday through Friday, eight hours per day, but Mrs. D has multiple medical problems that prevent her from working or from caring for their grandchild for more than an hour at a time. This family is eligible for CCA because Mrs. D is permanently disabled and is unable to work or care for the children while Mr. D works. Approve appropriate units of care based upon Mr. D’s work schedule. 3. Mr. and Mrs. E are receiving CCA for their two children. Both parents work Monday through Friday, eight hours per day and the children are eligible for 2 units per day or 10 units per week. Mr. E reports he was injured at work last week. He is now unable to work and unable to provide child care for their two children while he recovers from surgery. Mr. E’s physician indicates he will be unable to work or to provide child care for at least 12 weeks. As long as the family meets all of the other eligibility requirements, child care can continue to be approved for two units per day, Monday through Friday, for the next 12 weeks while Mr. E recovers from surgery. 4. Mr. F is receiving CCA for his child while he works. He works full time until he is injured in a car accident. His physician indicates that Mr. F will be unable to work or care for his children for the next six weeks. As long as Mr. F meets all of the other eligibility requirements, child care can continue for the same number of units approved before the incapacity for the six-week recovery period.