Page 63

Title 13: Social Service Resources Page 57 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Child Care Assistance Determining Eligiblity Revised June 14, 2024 CCA Exit Program

1. Mrs. C submits a review application and has two children. Neither child meets the criteria for special needs. Mrs. C works full-time and her monthly gross income is $5,000. Since this is a household of three, the family is eligible for CCA Exit. 2. Mrs. D submits a review application and has two children. One meets the criteria for special needs, while the other child does not. Mrs. D works full-time and her monthly gross income is $5,500. Since this is a household of three, only the special needs child is eligible for CCA Exit. 3. Mr. E submits a review application and has two children. Neither child meets the criteria for special needs. Mr. E works full-time and his monthly gross income is $5,500. Since this is a household of three, the family is not eligible for CCA Exit. 4. Mr. F submits a review application for his two children. Neither child meets the criteria for special needs. Mr. F works full-time and his monthly gross income has risen to $6,000. Since this is a household of three, the family is not eligible for CCA Exit. Comment: See Fee Schedule for the assessment of fees. Documenting Special Needs Legal reference: 441 IAC 170.1(237A) Before assessing the family’s income against Column B, request documentation from the family to substantiate the child needing services meets the definition for special needs. A child with “special needs” meets one or more of the following conditions: ▪ A physician or a school psychologist endorsed by the Iowa Department of Education has diagnosed the child to have a developmental disability that: • Substantially limits one or more major life activities, and • Requires professional treatment, assistance in self-care, or the purchase of special adaptive equipment. ▪ A qualified intellectual disability professional has determined the child to have a condition that impairs the child’s intellectual and social functioning. ▪ A mental health professional has diagnosed the child to have a behavioral or emotional disorder characterized by situationally inappropriate behavior that: • Deviates substantially from behavior appropriate to the child’s age, or • Significantly interferes with the child’s intellectual, social, or personal adjustment.