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Title 13: Social Service Resources Page 93 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Child Care Assistance Establishing Payment Rate Revised June 14, 2024 Limits on Payment Limits on Payment Legal reference: 441 IAC 170.4(7)“e” Do not approve payment for nonregistered providers until the Non-Law Enforcement Record Check Request, 595-1489 or 595-1489(S), and the Request for Child Abuse Information, 470-0643, are returned as all clear, or until the evaluation is completed and gives permission for the person to provide child care. Do not count the hours that a student spends studying when determining the units needed to attend school. Do not approve a separate payment for transportation. Child Care Assistance (CCA) can be paid for travel time only between the child care provider’s location and the parent’s place of employment or school. There is no limit on travel time. Count the actual daily travel time of the parent. Accept the parent’s statement unless there is reasonable doubt as to the validity of the travel time claimed. Do not approve special needs payment for therapeutic services that are provided in the child care setting. These include (but are not limited to) services such as: ▪ Speech, hearing, physical, and other therapies. ▪ Individual or group counseling. ▪ Therapeutic recreation. ▪ Crisis intervention. Do not approve payment to two providers for the same clock time except when the primary provider is closed for a holiday and charges private pay families for the day. In this situation, the primary provider can be paid for a day of absence and the backup provider can be paid for providing care. Appeal of Rate Calculation Legal reference: 441 IAC 170.4(7)“f” A provider who is in disagreement with the calculation of the half-day unit rate may request a review. Instruct the provider to send a written request for review to the Department service area manager within 15 calendar days of notification of the rate. The request should identify the specific rate in question and the methodology used by the provider to calculate the rate. The service area manager will provide a written response within 15 calendar days of receipt of the request. When dissatisfied with the response, the provider may request a review by the chief of the Bureau of Financial, Health and Work Supports within 15 calendar days of the response.