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1120 Chapter 7:Worker guides • Section 4: Child Care worker guides (07/2026) Example: Iris has a monthly copay of $130.00; her total child care bill is $250.00. Violet, her primary provider, bills $125.00 for the month. Iris’s secondary provider, Lily, also bills $125.00. The system pays $0.00 to Violet, because the copay amount that Iris is responsible for is higher than what Violet has billed. The system pays Lily the entire $125.00 she bills, because her CCB has a $0.00 copay. ODHS does not collect the other $5.00. Unless the family has a conversation with DPU, then DPU assumes this arrangement will continue. The copay percentages are split for future months, and Violet and Lily will receive their ongoing CCBs with a copay of $65.00 each (50/50% split of the copay amount). If next month both providers bill $125.00 again, each provider would receive $60.00. Each provider would be responsible to collect the $65.00 copay from Iris directly. This is a very rare situation. Most family copays are between 2-3% of their gross income and the highest ERDC copays are $130 per month for families of 5 or more. Contact DPU if you have questions or concerns regarding a split copay amount. Proration of percentages in special situations: DPU may manually change the percentages of care to multiple providers for future months if the combined amounts being billed by both providers are over the maximum amount that ODHS can pay. This is to avoid overpayment. Processing unmet copays Reapplying for ERDC after an unmet copay When a family’s ERDC case closes with an unpaid copay and they later reapply for child care assistance, the worker must determine if the copay is still outstanding by reviewing the case to see if there is a ‘CNM’ coded in ONE. If there is still an unpaid copay, the worker should refer the caretaker to DPU to assist them in resolving this. This does not apply to Categorical ERDC or Expanded Child Welfare (EXP-CW). If the caretaker states that they cannot locate their provider to pay the copay, or their provider will not accept payment, the worker may assist the caretaker in reopening their case by taking the following steps: Review the billing history by typing DPCS,case# into a blank DHR screen. On the right hand side, there should be a ‘COPAY MET’ field. Scroll to the line listing an ‘N’ for a copay not met, mark in this field, and hit SHIFT + F11. Look for the copay amount for that month and year by viewing the bottom left ‘VCHR COPAY’ field. It is important to look at the voucher copay amount rather than the original copay amount.