Co Pays
Family Size 2. Gross income amount is $2,321 a month. What is their co-pay?
$169
Sally works Tuesday through Saturday 11:00 a.m. to 6:00 p.m. She has two children ages 1 and 3. What is the appropriate coding?
Weekly 5
Since the client needs full-time care 23 days per month for both children, the requirements are met for the weekly unit type.
A client reports her work hours are 7:30 am to 4:30 pm. She states she has a 1-hour commute from her child care center to her place of employment. How much travel time should the worker allow in her child care plan?
1 hour each way
The amount of travel time approved is whatever is reasonable for the client. The worker should ask the client how much time it takes to get from work to the child care facility and document the need in FACS case notes.
Jana applies for child care benefits on 03/05/15 for her child. She attends school at a community college. Jana is disabled and receives $679/month in SSI and $250/month child support from her child’s father. What is the total income used to determine eligibility?
$929
Both the client’s SSI and child support income are considered.
Family Size -3. Gross monthly income is $3,827. What is their co pay?
$276
Tonya requests child care benefits for her daughter Meghan, who is a third grader at Rolling Meadows Elementary school. Tonya has to be at work at 8:30 a.m. and drops Meghan off at school on her way to work. She picks Meghan up at the child care facility on her way home around 6:00 p.m. She works Monday through Friday and does not need care on the weekends. Child care is also needed on school holidays and breaks.
Should the Blended Unit type be used?
Yes
The blended unit type is approved for school age children when part-time care is needed on school days and full-time on school holidays.
True or False; A child care center in which the parent also works during the same time the child is in care
True
A child may attend a child care center in which the parent works during the same hours the child is in attendance.
Fred and Wilma are caretakers of their grandchild, Bert. Wilma works 40 hours per week as a traveling housekeeper making $300 per week. Fred works construction 40 hours per week making $400 per week. They do not have a court order. How much income should be counted towards Bert’s eligibility for child care?
$0
Unless Fred and Wilma have a court order that specifically states that they are ‘legally and financially responsible’ for Bert, none of their income would be considered in determining eligibility.
Family Size- 5. Their gross monthly income is $1,710. What is their co-pay?
$0
Diane requests child care subsidy benefits for her two school age sons. Timothy is 7 and his younger brother Todd is 5. Diane needs child care Tuesday through Saturday 7:00 a.m. to 4:00 p.m. She has no other alternative for childcare on weekends.
Should the Blended Unit type be used?
No
The blended unit type is not used when weekend care is needed. To qualify for the blended unit type, care must only be needed Monday through Friday.
True or False; The need for child care, plan hours, and choice of provider are all essential parts of the child care plan.
True
Tom and Julie apply for child care benefits for their son and Julie’s two children from a previous marriage. Both Tom and Julie are employed. Tom earns $1850/month and Julie earns $1400/month. Tom provided verification that he is paying $400/month court-ordered child support to his ex-wife. What is the total income used to determine eligibility?
$2850
Both Tom and Julie’s income is considered. A $400 deduction is given for the court-ordered child support Tom pays to his ex-wife.
Family size - 2. Their gross monthly income is $1,955. What is their co-pay?
$142
Diana, the mother, is employed Monday through Friday, 7:00 a.m. to 1:00 p.m. Jacob, the father, is employed Monday, Tuesday, and Thursday, 7:00 p.m. to 7:00 a.m. They are requesting childcare for their 2-year-old child so that Jacob can sleep during the day while Diana is at work. What is the appropriate coding for the authorization?
5 full-time units
Sleep time is only approved for Jacob to sleep on Tuesday while Diana is working. Jacob would not be eligible for sleep time on Wednesday or Friday because he does not have to work on those days.
True or False? Child care may be closed effective the same day if the customer requests the closure and the child is no longer attending.
True
The benefit may be closed the same day if the customer requests the closure and the child care is no longer being used. If the customer needs the child care closed for a future date, the child care benefit may be closed for the date the customer requests.
Sara applies for child care benefits. Her husband is deployed in Afghanistan. Sara is in school and 2 of her 3 children need child care. The third child is 16, attends high school, and works part-time earning $350/month. Her husband earns $2800 /month and sends $1800 home to Sara each month. What is the total income used to determine eligibility?
$2800
The husband’s full income is considered. The 16-year-old’s income is exempt since he is in high school.
Family size - 6. Their monthly gross income is $8,532 a month. What is their co-pay?
They are over income.
Rhonda works a rotating schedule, 8:00 a.m. to 4:00 p.m., 3 days on, 2 days off. She is requesting care for 1-year-old at Jumping Frogs Child Care Center. This child care center is open 7 days a week. How would you code the authorization?
Weekly 5
In this situation, the worker must use a calendar to count the maximum number of days Rhonda will work each month (using a 31-day month). Since the maximum need for care is 19 days per month, the authorization must be coded with the weekly unit type as the need is for at least 15 and no more than 23 days per month.
The customer contacts her worker because of job termination. What action should the worker take?
Verify terminated income, remove income for following months, leave benefit open unless it is a renewal month.
Loss of employment is not a valid closure reason unless the customer requests the benefit to be closed. The customer must be meeting a need factor only at application and at renewal.
Jeff and Allison apply for child care benefits for 2 of their 3 children. Allison is in college and has a job on campus through a federal work study. She earns $900/month. Jeff works full-time and earns $2400/month. Their oldest child, who does not need child care, receives $465/month SSI. What is the total income used to determine eligibility?
$2865
Jeff’s income and the SSI are considered, but the work study income is exempt.