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DIVISION OF WELFARE AND SUPPORTIVE SERVICES Child Care Policy Manual (NCCS), or its successor system, CCR&R staff will provide the following forms to the Delegate Agency: • A Notice of Decision (NOD): an eligibility status notification letter for the Delegate Agency records; and • A Notice of Action/Notice of Appeal (Form 2158 WC): an eligibly status and appeal form which the Delegate Agency must provide to the household. Note: The Notice of Action/Notice of Appeal must also be provided to the household if the case is denied. b. Within ten (10) calendar days of receipt of any changes/verification in a household, update NCCS or its successor system and notify the Delegate Agency as noted in 2a above. 810.3 Delegate Agency Does Not Determine Household Eligibility for Contracted Slots If the Delegate Agency chooses not to determine the household’s eligibility for the Contracted Slot Program, the Delegate Agency must work with their designated CCR&R staff to obtain the information necessary to determine eligibility for the Contracted Slot Program. 1. The Delegate Agency must: a. Send a request to the household for any required verification(s) within ten (10) calendar days of receipt of a completed Delegate Agency Enrollment form or Application for Child Care Subsidy. Required verification is listed in MS 810.1. b. Allow the household at least ten (10) calendar days to return the requested verifications. c. Within ten (10) calendar days of receiving all required verifications, forward the completed and signed Delegate Agency Enrollment form or Application for Child Care Subsidy, along with all required verifications, to the designated CCR&R agency. d. If the Delegate Agency is made aware of changes in a household’s circumstances, they must report these changes in writing to their designated CCR&R agency within ten (10) calendar days of knowing about the change. 2. The CCR&R agency must: a. Determine eligibility within ten (10) days of receipt of a completed and signed Delegate Agency Enrollment form or Application for Child Care Subsidy and receipt of the required verifications; b. Send a NOD to the Delegate Agency; c. Send a Notice of Action/Notice of Appeal (Form 2158-WC) to the household; and d. Within ten (10) days of receipt of the change, reevaluate the household’s subsidy eligibility and notify the Delegate Agency and the household of any change in their case. 800- Delegate Agencies [4] MTL 01/24 July 1,2024