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Child Care Assistance Program Policy Manual Issued 07/2023 If the form is signed by the child care center, the exemption is limited to two weeks. For the exemption to go beyond two weeks, the form would need to be completed by a physician, physician’s assistant, nurse practitioner, psychiatrist, psychologist, chiropractor, public health nurse, or school nurse. Exemptions begin on the start date of the medical condition (medical condition, medical reason, or illness), but not more than 90 days prior to the date the completed form is received by the CCAP agency. To extend the exemption or grant an exemption for another medical condition (medical condition, medical reason, or illness), another form must be completed and returned to the CCAP agency. Exemption for teen parents attending certain programs Children may be exempt from the absent day limits upon request of the child care provider and approval of the CCAP agency if they are in a family where: • At least one parent is under the age of 21 and does not have a high school or general equivalency diploma AND • This parent is a student in a school district or another similar program that provides or arranges for ALL of the following to achieve high school graduation: - Child care - Parenting support - Social services support - Career and employment supports - Academic support. If all of these criteria are met, payment may be made for more than 25 absent days per calendar year and for more than 10 consecutive absent days. Absent day policy Conditions for absent day payment Pay the CCAP maximum rate, not to exceed the provider’s charge for a child absence when all the following conditions are met: • The provider has a written policy for child absences, charges all other families in care for similar absence, and is charging the family for this day. • The payment is not more than the provider charges private pay families for the same absence period. • The charge is not being paid by a non-CCAP source. • The provider’s service is available. • The child is scheduled to be in child care based on hours of care you authorized. Provider overpayments Do not charge a provider an overpayment for an absent day unless: • One or more of the conditions for absent day payments were not met; or