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Child Care Assistance Program Policy Manual Income verification Issued 08/2022 7.9

• State Verification Exchange System (SVES) interface screen prints. See Chapter 7.24 (Verification – DHS systems). • Bank statements indicating interest paid on a specific account. • Copies of checks for pensions, trust funds, annuities, unemployment compensation, etc. • Cash settlements/awards/winnings may be verified through copies of the “letters of award” or court order or other applicable items. • A screen print of the TPCO screen in MMIS or a copy of Your Health Insurance is Cost Effective (DHS- 3767E) (PDF) as verification of cost effective insurance reimbursement.

Income deductions Request verification of the amount and type of expense and allow the required amount of time for the verification to be returned. See Chapter 7.1 (Verification due dates). If the requested verification is not received, do not allow the expense as a deduction and process the case without the income deduction. The following are examples of acceptable verification:

• Payroll deductions as indicated on the pay stubs. Request consecutive pay stubs to verify that the deduction is ongoing. • Copy of invoice and receipt of payment from an insurance company. The documentation provided must verify the amount and type of expense covered. • Copy of current invoice for Minnesota Care premiums. Legal authority Minnesota Statutes 119B.011, subd. 15 Minnesota Statutes 119B.025 Minnesota Statutes 256P.06