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DIVISION OF WELFARE AND SUPPORTIVE SERVICES Child Care Policy Manual g. Obtain the proper verification for all reported countable household income (Employment Verification form, pay stubs, child support payments (informal payments or through court system), Social Security benefits, unemployment benefits, etc.). 3. Within ten (10) calendar days from receipt of all required verifications, Delegate Agency staff must: a. Convert the reported income into a monthly amount in compliance with the budget methodology set forth in MS 310 through MS 316. b. Using the Household Size and Monthly Income Chart in MS 170 determine if the household is eligible for delegate funding based upon their countable income and household size. c. Approve eligibility and forward the information listed below to the designated CCR&R agency for subsidy program enrollment. 4. A renewal application must be completed by the household at the end of their eligibility period. All eligibility requirements must be verified as current prior to approving the renewal application. 810.2 Delegate Agency Determines Household Eligibility for Contracted Slots If the Delegate Agency elects to determine the household’s eligibility for the Contracted Slot Program, the Delegate Agency must follow the guidelines listed below. 1. The Delegate Agency must: a. Approve eligibility and forward the information listed below to the designated CCR&R agency for subsidy program enrollment within ten (10) calendar days of approval. The approval packet must include: • The completed and signed Application for Child Care Subsidy or Delegate Agency Enrollment form; • A cover sheet which provides the following information o Delegate Agency name; o Site Location; o Subsidy household size; o Names of all children subsidy care is being requested for; o Family Copayment Contribution percentage; o Type of application (new or renewal); o Length of certification period; o Signature of the Delegate Agency staff who completed the eligibility determination; and o Date of approval. • An income worksheet listing all income and how the Delegate Agency calculated the monthly income amount. b. If the Delegate Agency is made aware of changes in a household’s circumstances, they must re­ evaluate the household’s subsidy eligibility and provide the verification of the change to the designated CCR&R agency within ten (10) calendar days of receipt of the change/verification. 2. The CCR&R agency must: a. Complete formal subsidy program enrollment within ten (10) calendar days of receipt of all required verifications from the Delegate Agency. Once enrolled in the Nevada Child Care System 800- Delegate Agencies [3] MTL 01/24 July 1,2024