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Title 13: Social Service Resources Page 56 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Child Care Assistance Determining Eligiblity Revised June 14, 2024 CCA Exit Program Policy: Families are financially eligible for the CCA Exit program when their monthly gross income, according to family size, is equal to or above the amount in Column C (the maximum income for CCA Plus), but no more than the amounts in Column D (Basic Care) or Column E (Special Needs Care) below:

Monthly Gross Income Family Size Column C (CCA Plus) Column D (Basic Care - CCA Exit) Column E (Special Needs Care – CCA Exit) 1 member 2,824 3,138 3,451 2 members 3,834 4,260 4,686 3 members 4,842 5,380 5,918 4 members 5,850 6,500 7,150 5 members 6,860 7,623 8,385 6 members 7,868 8,743 9,617 7 members 8,876 9,863 10,849 8 members 9,887 10,985 12,084 9 members 10,438 12,105 13,316 10 members 10,660 13,225 14,548 11 members 10,883 14,348 15,782 12 members 11,106 15,468 17,014 13 members 11,329 16,588 18,246 14 members 11,552 17,710 19,481 15 members 11,775 18,830 20,713 16 members 11,998 19,950 21,945 17 members 12,221 21,073 23,180 18 members 12,444 22,193 24,412 19 members 12,667 23,313 25,644 20 members 12,890 24,435 26,879 Add $223 $1,121 $1,233 for each additional person over 20 members Procedure: Use all income to determine eligibility and copayment. To verify income, request documentation from the source of the payment, such as pay stubs, employer statements, and payor statements on child support payments that are not issued through the Child Support Recovery Unit. Document the income and how it was verified in the case file. (See Verification.) If a family has some children that meet the criteria for special needs while others do not, establish eligibility using both columns in the table.