16 Del. Admin. Code § 11000-11004

Current through Register Vol. 28, No. 7, January 1, 2025
Section 11000-11004 - Applying for Child Care Assistance

45 CFR 98.1(b) (1)

Parents and caretakers who are interested in receiving child care assistance may inquire about services by contacting a DSS office.

1. Parents and caretakers may informally inquire about child care eligibility by contacting a DSS office by phone call or unannounced office visit.
2. Each informal inquiry for child care services will be reviewed by a DSS eligibility case worker at the time of inquiry. Parents and caretakers who appear to be eligible may complete the formal application process on the same day as the informal inquiry.
3. Eligibility case workers who are assessing informal child care inquiries shall:
A. Review each applicant's need for child care based on the information that the applicant provides.
B. Review current case information in ASSIST Worker Web (AWW), if applicable.
C. Notify parents and caretakers whether they are potentially eligible for services. A written decision is not required for an informal inquiry.
D. Inform all parents and caretakers of their right to file a formal application.
E. Proceed with the formal application process for potentially eligible parents and caretakers on the same day as the informal inquiry.
F. Provide the applicant with Form 105 "Appointment and Request for Verification" when additional information is needed to complete the eligibility process.
11004.1 Processing Applications for Child Care

Statutory Authority

45 C.F.R 98.20

This policy applies to parents and caretakers who submit an application for child care assistance.

1. DSS will provide child care assistance for eligible children when a parent or caretaker:

*Participates in a TANF or SNAP Employment and Training (E&T) program;

* Participates in the TANF Transitional Work Program (TWP);

* Attends a DSS-approved educational program or job training program;

*Is employed or accepts an offer of employment;

*Receives protective services from the Division of Family Services (DFS); or

*Verifies a special need.

2. A parent or caretaker may apply for child care:

*In person at any DSS location;

*Over the phone with a DSS case worker;

*By mailing, faxing, or emailing a completed application to the local DSS office; or

*Online through Delaware ASSIST or other online application methods.

3. A parent or caretaker selects the date child care services begin.
A. The DSS authorization for child care will begin on the first day the child attends a child care setting. The authorization cannot begin prior to the child attending a child care setting.
B. The DSS authorization for child care may begin before the date of application, but no earlier than the first day of the application month if the child was attending the child care setting.

Example 1: A parent or caretaker applies for child care on March 18. The child was enrolled and started attending the child care setting on March 2. The authorization may start March 2, the day the child started attending the child care setting.

Example 2: A parent or caretaker applies for child care on March 18. The child was enrolled and started attending the child care setting on March 21. The authorization may start March 21, the day the child started attending the child care setting.

Note: The DSS eligibility system will allow authorizations for child care to begin the first day of the month of application

4. A parent or caretaker must verify household income and the need for child care during the application process.
A. A parent or caretaker must verify the last 30 days of earned and unearned income received prior to the date of application for DSS to determine financial eligibility.
i. Earned income may be verified by:
a. Wage stubs;
b. A signed employer statement on employer letterhead noting the employee's name, start date, work schedule, earnings, and frequency of pay;
c. Verification of Employment (Form 170); or
d. A data match confirming employment and income.
ii. Unearned income may be verified by:
a. Award letters;
b. Pension statements;
c. Court order documentation;
d. Other forms of documentation from sources verifying the gross unearned income amount; or
e. A data match confirming unearned income.
B. A parent or caretaker must verify their need for child care by providing:
i. Wage verification or an offer of employment that includes the amount of work hours;
ii. A schedule, proof of registration, or statement from an authorized education program verifying the start date, days and hours of attendance, and expected completion date;
iii. A schedule, proof of registration, or statement from an authorized training program verifying the start date, days and hours of attendance, and expected completion date;
iv. A DFS referral for protective care;
v. Child Care Medical Certification Form (Form 611) which can be completed by a physician, licensed psychologist, licensed social worker, school based licensed special education staff, or a specialist who has experience with the child and knowledge in the area of the child's disability; or
vi. Written documentation completed by a physician, licensed psychologist, licensed social worker, school based licensed special education staff, or a specialist who has experience with the child and knowledge in the area of the child's disability.
C. Presumptive child care may open when a parent or caretaker reports income and a need for child care but has not provided all mandatory verifications in accordance with DSSM 11004.8.
5. A parent or caretaker must provide all mandatory verifications, complete an intake interview, and make a provider selection within 30 days from the application date for child care to become effective on the application filing date.
A. If information is returned after 30 days of the application date, but before 60 days, child care will begin on the date verifications are received.
B. If information is not returned before 60 days from the application date, the parent or caretaker must reapply for child care.
6. DSS must inform parents and caretakers of their:

*Eligibility determination;

*Monthly parent copayment amount; and

*Rights and responsibilities for the Child Care Subsidy Program.

7. DSS must give parents and caretakers a Subsidized Child Care Client Agreement (Form 626) when child care approval cannot be generated from the eligibility system.

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11004.2 Interviews and Necessary Documentation

45 CFR 98.11

Complete an interview either over the phone or in person. Conduct the interview the same day if possible. Parents will need to supply the following verifications:

1. if employed:
a. pay stubs for the 30 days before the date of application, or
b. a letter or employer statement (on company letterhead) noting the employer's name, telephone number, the parent's/caretaker's work schedule, earnings, frequency of pay, and start date,
2. any unearned income, such as child support, Social Security, and unemployment compensation
3. if in training and/or school:
a. a statement from the school/training program with starting and completion dates and days and hours required to attend, or
b. a copy of a registration form and class schedule;
4. any other information which will help in determining the need for service, such as documentation of a special need. Documentation of the special need may be provided on the Special Needs Form or any other written correspondence submitted by a physician or medical professional with the authority to do so. For a protective need, a referral from Division of Family Services must be submitted.

Parents must be given any information that will help them to make an informed decision regarding their child care services. Provide parents/caretakers with a list of providers and a child care certificate packet as needed. Although verifications are needed, Presumptive Child Care may be opened pending information. Presumptive Care can be authorized for approximately one month, depending on the date of application. (For more information on Presumptive Child Care see DSSM 11004.8).

11004.2.1 Conducting the Interview

The interview will include:

A. An evaluation of parents/caretakers need for child care services (see Section 11003);
B. A determination of financial eligibility as needed;
C. An assessment of the family's child care needs as well as the needs of the child(ren) to be placed in care;
D. An explanation of the available types of child care; the choices parents/caretakers have regarding these provider types; the various provider requirements regarding licensure, possible co-pays, health, and safety, including record of immunization; and required child abuse and criminal history checks;
E. An explanation of DSS payment rates and parent fee scale, including a discussion of how fees are assessed, where fees are to be paid, what happens if the fee is not paid, and how parents/caretakers are to keep DSS informed of changes that affect fees;
F. An explanation of parents/ caretakers rights and responsibilities;
G. Completion of the Application for Child Care Assistance, and as applicable completion of the Child Care Authorization and the Child Care Payment Agreement form; and
H. Verification of appropriate information establishing need and income.

The entire process, from the time when parents/caretakers make an informal request for child care to the time when a decision is finally made, should take no longer than one month.

Parents/caretakers who fail to keep their initial appointment for an interview are given the opportunity to reschedule.

11004.3 Review and Verification of Eligibility Requirements

As part of the formal application process, use the parents/caretakers interview to review and verify eligibility requirements. This interview will always include an evaluation of the parents/caretakers need for child care and, as appropriate, a determination of financial eligibility. Section 11003, Eligibility Requirements, provides guidance for this review.

When a parent/caretaker makes a contact to inquire about child care, ask the following questions of the parent/ caretaker to determine and verify need (these questions follow the eligibility requirements noted in Section 11003 and match DCIS II Child Care Sub system need codes.

A. Is the parent/caretaker employed or in need of child care to accept employment? (Category 12 for TANF employed or Category 31 if not on TANF) The caretaker must be part of the TANF grant to be a Category 12.
B. Is the parent a TANF Employment and Training participant and needs care to participate in a TANF Employment and Training activity? (Category 11)
C. Is the parent/caretaker a Food Stamp Employment & Training (FS E&T) participant? (This is Category 21.)
D. Is the parent/caretaker a self-initiated participant (TANF, a mandatory or voluntary Food Stamp Employment & Training (FS E&T)? (This is Category 21.)
E. Is the parent/caretaker in and regularly attending a training program or going to school? (Category 31)
F. Is a special needs child or parent/caretaker in the household? (Category 31)
G. Is there a protective referral from Family Services? (Category 31)
H. If the parent/caretaker meets a Category 13 or 31 need, is the family income equal to or below 200 percent of the federal poverty level?

Use the appropriate documents identified in Section 11004.2 to verify the need for service. However, verification will not delay authorization of service in the event documentation is not immediately available. Authorize service while allowing parents/caretakers ten days to provide the appropriate verification. If the client is applying for services the system will automatically determine eligibility for Presumptive Child Care. The system will generate the appropriate notices, request the information and end date the authorization. If the client does not meet presumptive requirements and fails to provide requested information the system will close the case and give appropriate notice. (For more detail on Presumptive Child Care see section 11004.8)

11004.3.1 Service Priorities Prioritizing Service Needs

45 CFR 98.20

45 CFR 98.44

This policy applies to all Child Care Assistance applicants who may experience a delay in service due to a wait list.

DSS Requires When There Is A Wait List That Certain Groups Be Given Priority.

Applicants Will Be Referred To A Waitlist If Their Need For Child Care Does Not Meet One (1) Of The Requirements.

Parents/Caretakers in the circumstance below will continue to receive Child Care Assistance as long as they meet all eligibility requirements.

A. The following groups are given priority:
1. TANF applicants and recipients who are Employment and Training (E&T) Mandatory and not working (Category 11);
2. TANF recipients who are working (Category 12);
3. Individuals receiving Food Supplement Program (FSP) who are mandatory E&T participants (Category 21);
4. Teen parents who are enrolled in or attending middle school or high school; or a program to acquire a General Education Diploma (GED) or similar secondary credential approved by the Delaware Department of Education;
5. Parent/Caretakers or child with special needs as defined in DSSM 11003.7.8;
6. Homeless families as defined in DSSM 11003.7.2;
7. Families who meet the 40% of FPL criteria as defined in DSSM 11004.7;
8. Division of Family Services (DFS) may refer children to DSS for protective Child Care up to the number agreed upon by both Divisions.
11004.4 Child Care Certificates

As part of the application process, inform all parents/caretakers of their right to choose a child care provider. Parents/caretakers may elect to use a provider under contract with DSS or elect to receive a child care certificate. The child care certificate allows parents/caretakers to select any licensed non-contract provider or license-exempt provider. The child care certificate is part of a package of information provided to parents/caretakers as part of the formal application process. It is necessary to not only provide parents/caretakers with a copy of this package, but explain the purpose of this package and ensure that parents/caretakers reasonably understand its contents.

11004.4.1 Explanation of Certificates

Use the following as a guide to explain the child care certificate package.

A. Parents/caretakers can use this package to select a child care provider of their choice. However, they must select care that is legal. Legal care is care that is licensed or that is exempt from licensing requirements.
B. Licensed Care: All family child care homes, large family child care homes and child care centers must have a license to operate in Delaware. Do not allow a parent to select an unlicensed family or large family child care home, or center child care provider.
C. License-exempt Care: The following provider types are exempt from licensing requirements in Delaware:
1. persons who come into the child's own home to care for the parent/caretaker's child,
2. relatives who provide care in their home for the parent/caretaker's child;

Though the above provider types are exempt from licensing requirements, they are still required to meet certain health and safety standards. These standards are:

1. maintaining documentation of the child's immunization record,
2. safe and clean building premises,
3. providers and those 18 and older who live in the home where care is being provided are required to submit to a fingerprinted background check and must not have any prohibited criminal convictions or prohibited child abuse and neglect substantiations as designated under 31 Delaware Code, Section 309, 16 Delaware Code, Section 923 and the Child Care Development Block Grant Act of 2014;] and
4. relatives who provide care cannot be part of the welfare grant.
D. Once parents/caretakers know the appropriate provider to select, they also need to know how DSS will pay for the care provided. DSS has established rates above which it will not pay (see Appendix II for current reimbursement rates).

Parents/caretakers will need to know these rates and whether or not the provider is willing to accept them. If the provider is willing, the certificate will act just like a DSS contract and DSS will pay the provider directly less any child care fee. If the provider is not willing, the parent/caretaker will self-arrange care with the individual provider.

If the provider contracted purchase of care slots are full, the provider may offer the parent/caretaker the option of receiving service as a purchase of care plus client. The provider then receives the regular DSS subsidy from the Division, the DSS determined parent fee and any additional fee determined by the provider from the parent/caretaker.

If the provider is not willing to accept purchase of care plus, the parent/caretaker will self-arrange care with the individual provider. The parent/caretaker will pay the provider and submit an original receipt to DSS for reimbursement. The parent/caretaker, however, will only receive reimbursement up to the DSS statewide limit.

E. The provider will need to complete and return the original copy of the actual child care certificate before case managers can authorize care. Relative care providers will also complete and return the yellow copy of the License Exempt Provider Criminal History and Child Abuse and Neglect Background Check Request for all persons 18 and older living in the home. If this form is not returned, discontinue care.
F. Service will not be delayed because of an incomplete child abuse clearance check, but remind parents/caretakers that DSS will not pay for care if, after authorization, the check should reveal a history of abuse or neglect.
G. Allow parents/caretakers one month to use a certificate. If the certificate is not used within that time, it no longer remains valid and the parents/caretakers will need to obtain a new certificate if they still wish to receive service.
H. The original copy of the child care certificate is completed and returned by the provider. The certificate package provides instructions for completion. The provider should keep a copy.
I. The client has 60 days from confirmation of eligibility to provide the DSS Case Manager with the name of his/her provider. If the client fails to provide this information his/her case will close.
11004.4.2 Purchase of Care Plus (POC+)

POC+ is a care option that allows providers to charge DSS clients the difference between the DSS reimbursement rate up to the provider's private fee for service. The provider receives the DSS rate, the DSS determined child care parent fee if applicable, and any additional provider determined co-pay.

This option is primarily for DSS fee-paying clients. DSS chooses not to limit childcare options for any group of individuals. DSS will allow all DSS purchase of care clients eligible for POC with no parent fee the opportunity to waive their right to receive childcare with no additional provider co-pays and choose a POC+ slot.

POC+ is an option for all DSS clients, not a requirement. If a provider does not have a regular POC slot available, the client can choose to self arrange, enter into a POC+ arrangement or find another provider that will take the regular DSS payment.

It is the provider's responsibility to include in their contract with the DSS client the explanation of POC+, the length of POC+ if it is specified, the co-payment amount, the providers policy on non-payment of fees, and a statement that they have explained to the client their options and that the client chooses to participate in POC+.

In order for providers to be able to participate in the POC+ option they must agree to take a percentage of DSS waived fee clients and attend training on POC+.

If a client is currently participating in POC+ and goes to a zero parent fee for DSS, the client can stay POC+ or request a regular POC slot. If a regular POC slot is not available the client can chose to remain in a POC+ slot, self arrange, or find a provider with a regular POC slot.

A provider cannot change a zero parent fee client from a regular POC slot to a POC+ slot.

NOTE: It is important to explain to DSS clients who receive POC and Food Stamps that if they choose to participate in POC+ they need to inform the DSS worker of the co-payment amount so that the Food Stamp case can be updated.

11004.5 Determination of Eligibility

DSS programmed the DCIS II Child Care Sub system to make eligibility decisions. As Case Managers enter the appropriate parent/caretaker information, the DCIS II Child Care Sub system will notify Case Managers whether they can proceed to authorize service. As a case is determined either eligible or ineligible, the DCIS II Child Care Sub system will send the appropriate notice to inform the parent/caretaker of the DSS child care eligibility decision. Parents/caretakers, whether eligible or not, will always receive a written decision regarding their official request for child care services.

11004.6 Child Care Eligibility Screening Application

Complete an Application for Child Care Assistance for all parents/caretakers before authorizing child care services. The information from this form becomes the basis upon which child care services are authorized. Therefore, the information should be as complete and accurate as possible. It is important for the parent/caretaker requesting service to sign this application. Their signature represents their official request for service. If a face-to-face interview is not conducted to obtain the information to complete the application, obtain the parent/caretaker signature on the application at the earliest opportunity after service is authorized. Do not allow parents/caretakers to receive services beyond one month without having a signed application on file.

When it is necessary to authorize new child care services to parents/caretakers because of a category change (such as parents/ caretakers going from a Category 11 to 31), it is not necessary to have parents/caretakers complete a new application. This enables DSS to maintain the concept of seamless service.

11004.7 Determining Child Care Copayments

45 CFR 98.45 (k)

DSS determines and assigns copayments for families who receive the Purchase of Care (POC) child care subsidy.

1. DSS determines copayments for the POC program according to:
A. The family's household size;
B. The family's gross monthly income;
C. The family's shelter and utility expense deductions; and
D. A percentage of the family's gross monthly income compared to the Federal Poverty Level (FPL) guidelines as listed in the current POC sliding fee scale that DSS publishes in the annual October Cost of Living Adjustments Administrative Notice.
2. DSS will waive the copayment if one of the following conditions applies to a family:
A. The family has net income below 40% of the FPL and is determined to have an excessive financial burden in accordance with DSSM 11004.7.1.
B. The family has gross income at or below 150% of the FPL.
C. The family is active with and referred by the Delaware Division of Family Services (DFS), including foster care families.
D. The family is participating in Delaware's Temporary Assistance for Needy Families (TANF) program.
E. The child receives TANF and is being cared for by a caretaker who is not the child's natural or adoptive parent.
F. The parent is age 18 or younger and is attending high school or a high school equivalent.
3. DSS may assign a copayment to a case with a caretaker if the eligible child receives income and does not meet one of the waiver conditions listed in section (2) of this policy.
4. DSS will calculate the family's assigned copayment as a monthly amount.
A. The monthly calculated copayment amount must not exceed 7% of the family's gross income.
B. The copayment will not increase beyond the initial copayment amount during the eligibility period if the family reports an increase in income.
C. The copayment will decrease during the eligibility period if the family reports a decrease in income.

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11004.7.1 Determining Excessive Financial Burden for Child Care

45 CFR 98.45 (k)

DSS determines if a family has an excessive financial burden when establishing the family's copayment for the Purchase of Care (POC) program.

1. DSS considers a family to have an excessive financial burden for the POC program if the family's net income is below 40% of the Federal Poverty Level (FPL) prior to or after DSS deducts certain household expenses from the family's gross income.
A. When determining excessive financial burden, expense deductions are limited to:
i. Rent, mortgage, and lot rent;
ii. Any mandatory expense required by a landlord or a mortgage holder (e.g., homeowners insurance, property taxes, and school taxes);
iii. Current monthly utility expenses (e.g., electric, gas, trash, water, and sewer), excluding late fees and past due amounts;
iv. Telephone expenses, which are capped at the same rate as the Food Supplement Program's standard allowance; and
v. Unreimbursed medical costs.
a. Before DSS can consider medical costs as a deduction, a family not already receiving Medicaid or the Delaware Healthy Children Program (DHCP) must first apply for either Medicaid or DHCP.
b. The DHCP premiums are included in the unreimbursed medical cost deduction.
c. DSS will consider any unreimbursed medical costs not covered by Medicaid or DHCP as a deduction to determine the family's income for excessive financial burden.
B. Case workers must verify all expenses by using:
i. The documentation of the actual billed expense;
ii. A receipt of payment;
iii. A signed lease; or
iv. A DSS approved form detailing the expense.
C. DSS will apply one of the following utility allowances as a deduction to a family's gross income when applicable:
i. The heating and cooling standard utility allowance (HCSUA);
ii. The limited utility allowance (non-heating/non-cooling);
iii. The one-utility allowance; or
iv. The telephone allowance.
2. DSS will deduct allowable and verified expenses from a family's gross income to determine if the family's net income falls below 40% of the FPL for excessive financial burden.
3. DSS will waive child care copayments for families who are determined to have an excessive financial burden.
11004.7.2 Paying the Child Care Fee

Parent/caretakers will pay their child care fee directly to the child care provider. This fee, in combination with what DSS pays the provider, represents the reimbursement limit DSS allows for child care services. These limits are based on the child care type and the age of the child. DSS has contracts with providers for these rates which include purchase of care plus option. If, however, providers do not accept these rates or the purchase of care plus option, parent/caretakers will self-arrange care directly with the provider. In this instance, the parent/caretaker will not only pay their fee, but also the provider's full charge for care. The parent/caretaker will submit an original receipt for reimbursement, at which time DSS will reimburse the parent/caretaker in an amount up to the statewide limits (see 11004.4.1 above), less the child care fee.

Parent/caretakers who fail to pay their child care fee or who fail to make arrangements to pay past fees owed will have their child care services terminated. Providers are responsible for informing DSS of the parent/caretaker's failure to pay the fee. Obtain such information in writing from providers whenever possible. However, it is acceptable to obtain this information verbally if the following procedures are used.

A. Accept and document (e.g. note the date and time of the call/conversation and the information given in the case record) the information from the provider.
B. Request that the provider follow up this information in writing to the child care monitor in their county.
C. Send the Failure to Pay Child Care Fee Closing (CCMIS Notice 4060) to the parent/caretakers informing them that service will terminate due to non-payment of the fee unless arrangements are made with providers to pay past fees owed.

NOTE: Allow timely (10 days) and adequate notice.

D. Require parent/caretakers to submit information in writing which details the arrangements they made with providers to pay past fees owed.

Parent/caretakers whose child care case closes because of failure to pay child care fees cannot receive a new authorization for service until they satisfy or make arrangements to pay past fees owed.

11004.8 Defining Presumptive Child Care Services

[Statutory Authority]

31 Del.C. § 503(e), 508, and 512(1)

This policy applies to parents and caretakers who need immediate child care services, but who have not verified all mandatory eligibility factors.

1. Parents and caretakers may self-declare income and the need for child care at the time of application and receive presumptive child care services if they are determined eligible pending verifications.
2. Presumptive child care is limited to a one- or two-month eligibility and authorization period.
A. If a case is pending verifications prior to the date of adverse action in the eligibility system, child care will be approved for the current month only.
B. If a case is pending verifications after the date of adverse action in the eligibility system, child care will be approved for the current month and the next month only.

[Note: Families who apply for Purchase of Care and meet the definition of "homeless" in DSSM 1003.7.2 will receive presumptive child care services for 90 days, regardless of whether documentation is provided at the time of application.]

3. Parents and caretakers are not eligible for presumptive child care if they:

* Received child care assistance in the previous month;

* Were open in presumptive child care in their previous eligibility determination; or

* Were denied for presumptive child care in their previous eligibility determination.

4. DSS case workers will:
A. Process the child care application and complete the intake interview within two business days for parents and caretakers in need of presumptive child care services.
B. Enter the application information and select "pending verification" for missing mandatory verifications in the eligibility system. The eligibility system will automatically open presumptive child care if the parent or caretaker is eligible in accordance with section (3) of this policy.
C. Enter the presumptive child care authorization period of one or two months after the child care has been confirmed.
D. Inform the parent or caretaker in writing of the mandatory verifications required to complete the eligibility determination for child care.
E. Update the mandatory verifications in the eligibility system to "verified" once the parent or caretaker provides the mandatory verifications.
i. The case worker will also update the authorization to the next review period, which will be 12 months from the application filing date, unless a shorter authorization period was requested in writing in accordance with DSSM 11004.5.
F. Update the mandatory verifications in the eligibility system to "not verified" one day after the requested return date if the parent or caretaker fails to provide the mandatory verifications.
i. The child care case will close at the end of the presumptive child care authorization period.
11004.9 Authorizing Child Care Services

45 CFR 98.11

All child care services must be authorized before parents/caretakers can receive subsidized child care. Parents/ caretakers can choose any provider who is:

A. licensed, licensed exempt, or self arranged, and
B. approved to receive purchase of care.

No parent/caretaker can receive POC funds to provide child care services to their own children in a home or any other child care facility where the parent/caretaker provides direct care to that child. These parents may be able to get child care assistance if their children are placed in another child care setting.

Authorizations always start after service has been approved. The exact date is selected by the parent/caretaker. An authorization ends on the last day of the month of the authorization period. At no time can the authorization period exceed the review date. Child care may be authorized only for the days and hours that parents/caretakers need care. The types of care that can be authorized are part time (P), full day (X), and day and a half (T). All licensed and licensed exempt child care providers can receive up to five (5) absent days, depending on the number of days the child is authorized to attend. Children in self arranged care and children authorized for seven (7) days do not receive absent days.

11004.9.1 Changing Authorizations

Complete a change to an existing authorization whenever a situation occurs within the authorization period which requires a change to the parent/caretaker's situation. The DCIS II Child Care Sub system defines this as a Change Authorization. Examples of when Change Authorizations occur are:

A. a change in the authorized level of service, for example number of days, type of service, absent days, etc.;
B. a change of provider;
C. a change in category;
D. a change in parent/caretaker need;
E. a change in family size;
F. a change in income; or
G. a change in the child care fee.

To make any changes necessary to the current Authorization, navigate to the Child Care Authorization Details II screen, make the change and re-run SFU/EDBC.

Change Authorizations always affect future events, meaning the change will affect future transactions (i.e., future payments for child care).

When changes to an authorization cause a decrease in parent/caretaker service (e.g., less care, increase in fee), DSS considers this a negative change. According to the DCIS II Child Care Sub system, negative changes will occur the first day of the next month. Provide the parent/caretaker with adequate and timely notice whenever such a negative change occurs. DSS programmed the DCIS II Child Care Sub system to allow for timely notice. Therefore, any negative change will not cause a change to the authorization unless sufficient time remains in the current month for Case Managers to send the parent/caretaker notice of this change. If there is not sufficient time, the change will not occur until the first day of the month following the next month.

EXAMPLE: On January 20, Case Manager X is notified by parent Y of an increase in parent Y's income. Case Manager X posts the adjusted income to the DCIS II income screen.

The adjusted income will increase the child care fee on the authorization, which is a negative change (i.e., parent Y will have to pay a higher fee). Since this change occurs after January 20 (change does not occur until the next work day), the DCIS II Child Care Sub system will not make parent Y's new fee effective until March 1. The DCIS II Child Care Sub system sends parent Y a letter notifying parent Y of the higher fee.

DSS considers changes which increase the level of parent/caretaker service (e.g., increase in the number of days, reduction in fee) a positive change. The DCIS II Child Care Sub system is programmed to allow positive client changes to occur the first day of the current month.

A neutral change, like a change in category, will generally take place the first day of the next month. However, some category changes, going from a Category 11 or 12 (no fee) to a Category 31 will cause a negative change. The parent/caretaker will now have to pay a fee.

EXAMPLE: Parent Y who was a TANF participant and a Category 11 obtains a job. The job causes parent Y's TANF case to close. Parent Y can no longer get Category 11 child care, but qualifies for Category 31. Enter new income in the DCIS II income screens. Parent Y's TANF case is due to close on January 31, but the change is not completed until after January 21. The DCIS II Child Care Sub system will automatically change the category code from 11 to 31, and give notice once the client is no longer eligible for TANF but continues to be eligible under category 31.

The expiration dates for Change Authorizations will remain the same as on the original authorization.

Correct Transactions

If a change needs to be made to an old transaction (authorizations for which DSS already made payment), go to the Correct Transaction screen. The Correct Transaction function is located in DCIS II Child Care Sub system. Correct transactions can only be completed for positive changes, meaning the change caused an increase in service or a change in the child care fee, thereby increasing the provider payment. The only areas that can be changed on a transaction are:

A. family size increase
B. income decrease
C. waive fee code added
D. absent days change from no to yes
E. extended care changes from no to yes
F. days per week
G. type of day

Case Managers can only make corrections in the above areas to transactions created within the last 3 months. Supervisors may make changes in the above areas to any past transaction. Changes to transactions that are not editable (not listed above) will have to be referred to the Child Care Monitors.

If the change was negative, meaning a decrease in services, process an overpayment.

9 DE Reg. 572 (10/01/05)

11004.9.2 Interrupted Child Care

Families receiving child care during the school year sometimes need to change their service requirements during the summer months. For instance, some parents make alternate arrangements during the summer for a school-age child who receives care throughout the school year. These arrangements may not require the need for child care services. However, the parent may still need child care when the school year starts again in September. In addition, some parents only work during the school year and may not need child care during the summer months, such as parents who drive a school bus.

DSS will continue service to those families who do not need service for the summer but who will need service again in September. This break is considered an interruption of service and not as an end to the family's service need. Therefore, even though these families need to re-apply for service before September, they will not be re-applying as totally new cases and will not have to go on the waiting list.

Certain families who have an authorization end date for June may not keep their redetermination appointments (due to making alternate arrangements for child care during the summer or not needing care at all). These families are notified to contact their Case Manager if they need care again in September. If they fail without good cause to keep their re-application appointments or to contact their Case Manager, their service will not continue as before. They will go on the waiting list.

11004.9.3 Changing Child Care Providers

45 CFR 98.30

Parents and caretakers who receive child care subsidy for their children have parental choice in selecting child care providers. DSS case workers will follow the procedures in this policy when a parent or caretaker requests to change or add a child care provider.

1. Parents and caretakers have parental choice to change and add child care providers during their eligibility period for the Purchase of Care program.
A. A parent or caretaker who wants to change child care providers must give a five-day notice to their current child care provider prior to withdrawing the child from the child care site.
B. A parent or caretaker may add an alternate child care provider in the event the primary child care provider is unable to care for the child.
i. The alternate child care provider cannot receive payments for absent days.
C. A parent or caretaker may use two child care providers if care is needed during different hours or at different locations.
i. DSS will authorize each provider only for the days and hours that the child attends each child care site.
ii. Examples:
a. A parent is employed and works day and evening hours. The parent may use one provider during the day and a second provider during the evening.
b. A parent is employed and works two days at one location and three days at another location.

The parent may use one provider near one location and a second provider near the other location.

2. DSS will remove and add child care provider authorizations in a family's Purchase of Care case when the parent or caretaker requests to change providers.
A. DSS case workers will end the authorization in the eligibility system for the child care site that the child will no longer attend effective the last day of the month the authorization will end.
B. DSS case workers will add the authorization in the eligibility system for the new child care site effective the first day the child will attend the site.
3. DSS will add an additional child care provider authorization to a family's Purchase of Care case when the parent or caretaker requests an alternate provider or two providers.
A. DSS case workers will confirm a parent's or caretaker's need when a parent or caretaker requests two child care providers.
B. DSS case workers will add the authorization in the eligibility system for the new child care site effective the first day the child will attend the site.
11004.9.4 Creating Unmet Needs

Under certain conditions, DSS may not be able to provide service to eligible parent/caretakers. Either because of a lack of funding or because DSS cannot match child's child care need with an available provider, do not authorize service. When an authorization for one of the above reasons cannot be completed, place the child or children on an Unmet Need Waiting List. Follow the Unmet Needs Section of the User Manual both for placement and removal of a child(ren) on the Unmet Need Waiting List.

When services to parent/caretakers who are a non-service priority must be delayed, do the following:

A. continue to accept requests and applications for child care services,
B. complete the child care case information to create a CCMIS case,
C. place the child(ren) on the Unmet Need Waiting List,
D. inform parent/caretakers that DSS is placing them on a waiting list and that they will be notified when an opening becomes available, and
E. either authorize care when services are available or close the case if parent/caretakers no longer desire service.
11004.9.5 Establishing 12-Month Authorization for Child Care

45 CFR 98.21

Families approved for Purchase of Care must be authorized for 12 months of child care.

1. DSS case workers must set Purchase of Care authorizations for a 12-month period.
2. Purchase of Care authorizations may be set for a shorter period only if the client provides a written statement verifying the length of time requested for child care. The written statement may be from:

* The parent or caretaker;

* A medical professional verifying the length of time child care is required for a special need;

* The Delaware Division of Family Services (DFS) verifying the length of time child care is needed to prevent child abuse or neglect.

3. Purchase of Care authorizations must continue during the following circumstances:

* The child turns 13 years old during the authorization period;

* The child is temporarily out of state;

* The parent or caretaker experiences a temporary change in work, education, or training, including, but not limited to:

i. An injury resulting in time off of work,
ii. A break from approved educational study, or
iii. A transition from past employment to new employment;

* Any other temporary circumstance in a household that will not exceed 90 days.

11004.10 Child Care Payment Agreement

Parent/caretakers will no longer receive a copy of the authorization. Instead, as authorizations are created, the CCMIS will automatically batch and process the authorizations each night at the DCIS data center. The DCIS data center will mail the authorization to providers the next work day. Instead of the authorization, provide parent/caretakers with a copy of the Child Care Payment Agreement Form (Form 626). Parent/caretakers will present this copy of the Child Care Payment Agreement form to providers as their initial verification of service authorization. (Providers have been instructed to accept this as a sign of authorization until the official authorization arrives in the mail.)

The purpose of the Child Care Payment Agreement Form is to ensure that parent/caretakers acknowledge their responsibilities as recipients of DSS child care services. Complete the blank spaces of this form with information appropriate to each parent/caretaker. Complete the form, give two copies to the parent/caretaker (one for their records and one for presentation to the provider), and keep one copy with the Case Manager's file.

11004.11 Determining and Reviewing Child Care

45 CFR 98.21(b)(2)

All recipients of child care assistance are continuously eligible for 12 months of child care services as outlined in this policy.

1. DSS must complete an interview with the client at application and redetermination as part of the child care eligibility process. The client can complete the interview with DSS in person or by telephone.
2. DSS must authorize 12 months of child care services for every eligible child.
3. DSS case workers must complete Form 636 "Child Care Checklist" when adding an additional child to an open, on-going child care case.
4. The child care copayment:

. Must decrease when a decrease in the family's income is reported; and

. Must not increase beyond the initial copayment amount during the authorization period.

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5. If a family has a loss of need for child care services during the authorization period, DSS must authorize the family for 90 days of continuing care before the child care case is closed (see DSSM 11004.12.1). If the family regains a need for child care services before the 90 days ends, the family will remain eligible and authorized for child care until their next review.
6. DSS will close a child care case at any time during the authorization period for the following reasons (see DSSM 11004.12):

. Excessive unexplained absences of the child from the child care site;

. A permanent change in the child's state residency;

. The family's income exceeding 85% of the state median income (SMI);

. Substantiated fraud or intentional program violations;

. A written request to close the case or to authorize child care for a specific length of time; or

. The death of the case head or of the authorized child.

7. DSS case workers must redetermine the eligibility of a child care case prior to the end of the authorization period.
8. A client must show good cause for not returning a redetermination application timely to avoid the closure of the child care case. Good cause can be anything believed to be reasonable, but generally includes things such as:

. An illness;

. A court required appearance;

. A household emergency (e.g., fire, heating problem, family crisis, etc.);

. A lack of transportation;

. A domestic violence situation; or

. Inclement weather.

9. A family whose child care case closed due to failure to complete a redetermination or provide verification may reapply for service. If DSS is using a wait list for child care assistance, the family will be subject to the DSS priority service order (see DSSM 11004.3.1).
10. DSS must not end a child care authorization or close a child care case without providing the family with at least a 10-day notice.
11004.12 Closing Child Care Cases

45 CFR 98.21(a)

This policy applies when DSS ends child care eligibility and authorization for services.

1. DSS will close child care cases prior to redetermination or during graduated phase-out due to:

* Excessive unexplained absences of the child from the child care site;

* A permanent change in the child's residency;

* The family's income exceeding 85% of the state median income (SMI);

* Substantiated fraud or intentional program violations;

* A written request to close the case or to authorize child care for a specific length of time (see DSSM 11004.9.5); or

* The death of the case head or of the authorized child.

2. DSS case workers must complete the following steps prior to closing child care cases for excessive unexplained absences:

* Mail Form 330 "Request for Contact" to the parent or caretaker to request clarification regarding the child's absences;

* Close the child care case if the parent or caretaker does not contact the DSS office by the requested due date.

3. The DSS eligibility system will:

* Provide a 10-day closing notice informing the parent or caretaker of their right to a fair hearing;

* End date the authorization on the last day of the current month. If a 10-day notice cannot be given, the authorization will end on the last day of the next month.

Note: Excessive unexplained absence is defined as 10 or more unexplained absences per month.

11004.12.1 Continuing Child Care after Loss of Need

45 CFR 98.20

Under certain circumstances, DSS will continue child care for up to three months after parents/caretakers lose their need for service. DSS will continue to authorize service for up to three months for parents/caretakers who:

A. lose employment and who need to search for new employment,
B. experience a gap in employment because of a transition between jobs,
C. end an education/training program and need to search for employment, or
D. experience a break in an education/training program.

13 DE Reg. 1088 (02/01/10)

11004.13 Determining Graduated Phase-Out for Child Care at Redetermination

45 CFR 98.21(b)

This policy applies to recipient families whose income exceeds the child care income limit at redetermination.

1. The graduated phase-out of assistance is provided to families that report during redetermination income exceeding 185% but falling at or below 200% of the Federal Poverty Level (FPL).
2. The graduated phase-out of child care assistance has a two-tier income range applicable at the time of redetermination.

* Tier 1: Income over 185% of the FPL - the graduated phase-out of assistance begins.

* Tier 2: Income over 200% of the FPL - the child care closes.

3. An additional twelve months of child care will be authorized at the time of the graduated phase-out.
A. The family must continue to have a need for child care during the graduated phase-out period.
B. The family will remain eligible for the full twelve months of assistance even if during the graduated phase-out period the family's income increases above 200% of the FPL but remains below 85% of the State Median Income (SMI).
C. If the family's income exceeds 85% of the SMI during the graduated phase-out period, the child care will close.
4. A new parent fee will be set at the start of the graduated phase-out period.

16 Del. Admin. Code § 11000-11004

8 DE Reg. 1153 (2/1/2005)
8 DE Reg. 1154 (2/1/2005)
9 DE Reg. 572 (10/1/2005)
10 DE Reg. 564 (9/1/2006)
10 DE Reg. 1826 (6/1/2007)
11 DE Reg. 1488 (5/1/2008)
13 DE Reg. 100 (7/1/2009)
13 DE Reg. 1088 (2/1/2010)
13 DE Reg. 1211 (3/1/2010)
14 DE Reg. 40 (7/1/2010)
15 DE Reg. 222 (8/1/2011)
16 DE Reg. 78 (7/1/2012)
16 DE Reg. 643 (12/1/2012)
16 DE Reg. 876 (2/1/2013)
21 DE Reg. 639 (2/1/2018)
23 DE Reg. 878 (4/1/2020)
24 DE Reg. 700 (1/1/2021)
25 DE Reg. 536 (11/1/2021)
27 DE Reg. 49 (7/1/2023)
28 DE Reg. 55 (7/1/2024) (Final)