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Title 13: Social Service Resources Page 76 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Child Care Assistance Identifiying the Provider Revised June 14, 2024 Eligible Providers ▪ Approve in-home care only when the family has three or more children who require care. If the parent has chosen in-home care, but does not have at least three children requiring care, the parent must select another type of care. EXCEPTION: If the provider lives in the same household as the children requiring care, treat the provider as either a registered child development home or a nonregistered home as long as the home is a single-family residence that the provider owns, rents, or leases. If the provider does not own, rent or lease the location, and the family does not have at least three children needing care, inform the family that they will need to select a different provider.

Ms. A and her two preschool children live with her mother, Ms. B, who owns the home. Ms. B agrees to provide child care for her two grandchildren while Ms. A works. Ms. B is treated like a nonregistered child care provider and will be paid the nonregistered home rate instead of the in-home rate. All of the children in the family requiring child care must receive their care from the in- home provider. However, the children need not all receive the same number of units of service in a 24-hour period. For example, the care may include both before- and after-school care to the school-aged children in the family and full-day care to the preschool children in the family. ▪ A family may choose to use a provider who is located outside of Iowa. Staff must request verification from the provider to verify the provider is legally operating and meets all of the regulatory requirements of the state in which they are located. ▪ Do not approve providers who have been sanctioned by the CCA program. See Sanctions for Provider Fraud for more information. Provider Requirements Legal reference: 441 IAC 170.4(3) Policy: Providers must meet specific requirements in order to be eligible for payment from the Child Care Assistance (CCA) program. The requirements vary according to the type of provider. Refer to the following sections: ▪ Provider cooperation with investigations ▪ Required forms ▪ Licensed or registered providers ▪ Nonregistered providers ▪ Out-of-state providers