Tennessee Termination of Employment Waiver 21 Days

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					RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C


State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.3.37 Child Care Parent Co-Pay
Program Affected: FF, CC                 Users: Caseworkers, Child Care Workers

   Process:

   This process will describe the procedure to determine if the parent is required to have a co-payment for a portion
   of the amount the state would pay the Child Care Provider. The co-pay fee amount will be based on the
   individual case information and the program rules. The parent is required to report changes that could affect co-
   pay amount and user will record changes into the system to determine co-pay fee.

   Sub-Processes:

   1. Determine if Parent has Co-Pay

       The system will determine if the parent is required to have a co-pay based on the business rules and the
       relationship, service type fee, child’s child care eligibility and parent’s child care eligibility information. The
       system will record the information.

       RELATIONSHIP (Input)
       Relationship Type
       Relationship Verification Type
       Minor Parent Indicator
       Foster Child Parent Indicator
       Caregiver Name
       Caregiver ID

       SERVICE TYPE FEE (Input)
       Co-Pay Indicator
       TCC Program Fee
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.3.37 Child Care Parent Co-Pay
Program Affected: FF, CC                 Users: Caseworkers, Child Care Workers
        At Risk Program Fee
        Low Income Program Fee
        DCS State Custody
        DCS Non-State Custody
        DSC Relative Caregiver
        At Risk Child Only Program Fee

       CHILD’S CHILD CARE ELIGIBILITY (Input)
       Child Care Child Name
       Child Care Child ID

       PARENT’S CHILD CARE ELIGIBILITY (Input - Output)
       Parent Program type
       Parent Service type
       Parent Child Care Participation start date
       Parent Child Care Participation end date
       Parent Eligibility start date
       Parent Eligibility end date
       Funding Source
       Funding Source begin date
       Funding Source end date
       Out of Pocket Amount paid
       Out of Pocket Amount paid begin date
       Out of Pocket Amount paid end date
       Authorization for Caretaker Reimbursement indicator
       Authorization for Caretaker Reimbursement date
       Parent Co-Pay Fee Waiver End Date
       Parent Co-Pay Fee Waiver Reason
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.3.37 Child Care Parent Co-Pay
Program Affected: FF, CC                   Users: Caseworkers, Child Care Workers
        Parent Co-Pay Fee Waiver Start Date
        Parent Waiting List End Date
        Parent Co-Pay Fee Start Date
        Child Care Enrollment Effective Date
        Daily Child Care Parent Co-Pay Fee Amount
        Child Care Parent Co-Pay Fee Total Amount
        Child Care Parent Co-Pay Fee Termination Date
        Child Care Parent Co-Pay Fee Schedule
        Child Care Parent Co-Pay Fee Effective Date
        Parent’s Waiting List Priority
        Child Care Parent Co-Pay Fee Reason Type
        Parent’s Waiting List termination reason
        Total Parent Co-Pay Fee Amount
        Weekly Child Care Parent Co-Pay Fee Amount
        Parent’s Waiting List Start Date

       CHILD CARE PARENT CO-PAY (Output)
       Total Parent Co-Pay Fee Amount
       Parent Co-Pay Fee Start Date
       Parent Co-Pay Fee End Date
       Parent Co-Pay Fee Amount per Child
       Parent Co-Pay Fee Amount

   2. Determine and Record Co-Pay Amount

       If the system determines the co-pay is required, the system will determine the co-pay amount based on
       income, living arrangement, relationship, service type fee and child’s child care eligibility information. The
       system will record the co-payment amount after determination.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.3.37 Child Care Parent Co-Pay
Program Affected: FF, CC                 Users: Caseworkers, Child Care Workers

       INCOME (Input)
       Case Total Countable Gross Earned Income Amount
       Case Total Countable Gross Unearned Income Amount
       Case Total Countable Gross Self-Employment Income Amount
       Case Total Monthly Gross Income Amount
       Income Type
       Income Pay Stub Amount
       Income Pay Stub Date
       Earned Income Gross Amount
       Earnings Verification Type
       Unearned Income Type
       Unearned Income Monthly Gross Amount

       LIVING ARRANGEMENT (Input)
       Individual Resides in a Foster Child Care Group Home Indicator
       Individual Resides in Foster Child Care Indicator
       Individual Resides in Family Home indicator
       Individual Resides in Group Home indicator

       RELATIONSHIP (Input)
       Relationship Type
       Relationship Verification Type
       Minor Parent Indicator
       Foster Child Parent Indicator
       Caregiver Name

       SERVICE TYPE FEE (Input)
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.3.37 Child Care Parent Co-Pay
Program Affected: FF, CC                 Users: Caseworkers, Child Care Workers
        TCC Program Fee
        At Risk Program Fee
        Low Income Program Fee
        DCS State Custody
        DCS Non-State Custody
        DSC Relative Caregiver
        At Risk Child Only Program Fee

       CHILD’S CHILD CARE ELIGIBILITY (Input)
       Child Care Child Name
       Child Care Child ID

       CHILD CARE PARENT CO-PAY (Input and Output)
       Total Parent Co-Pay Fee Amount
       Parent Co-Pay Fee Start Date
       Parent Co-Pay Fee End Date
       Parent Co-Pay Fee Amount per Child
       Parent Co-Pay Fee Amount

       PARENT’S CHILD CARE ELIGIBILITY (Output)
       Parent Program type
       Parent Service type
       Parent Child Care Participation start date
       Parent Child Care Participation end date
       Parent Eligibility start date
       Parent Eligibility end date
       Funding Source
       Funding Source begin date
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.3.37 Child Care Parent Co-Pay
Program Affected: FF, CC                   Users: Caseworkers, Child Care Workers
        Funding Source end date
        Out of Pocket Amount paid
        Out of Pocket Amount paid begin date
        Out of Pocket Amount paid end date
        Authorization for Caretaker Reimbursement indicator
        Authorization for Caretaker Reimbursement date
        Parent Co-Pay Fee Waiver End Date
        Parent Co-Pay Fee Waiver Reason
        Parent Co-Pay Fee Waiver Start Date
        Parent Waiting List End Date
        Parent Co-Pay Fee Start Date
        Child Care Enrollment Effective Date
        Daily Child Care Parent Co-Pay Fee Amount
        Child Care Parent Co-Pay Fee Total Amount
        Child Care Parent Co-Pay Fee Termination Date
        Child Care Parent Co-Pay Fee Schedule
        Child Care Parent Co-Pay Fee Effective Date
        Parent’s Waiting List Priority
        Child Care Parent Co-Pay Fee Reason Type
        Parent’s Waiting List termination reason
        Total Parent Co-Pay Fee Amount
        Weekly Child Care Parent Co-Pay Fee Amount
        Parent’s Waiting List Start Date

   3. Determine and Record Fee Waiver (Optional)

       If the system determines the parent has a fee waiver, the system will record the waiver information in the
       appropriate data stores.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.3.37 Child Care Parent Co-Pay
Program Affected: FF, CC                 Users: Caseworkers, Child Care Workers

       PARENT’S CHILD CARE ELIGIBILITY (Output)
       Parent Program type
       Parent Service type
       Parent Child Care Participation start date
       Parent Child Care Participation end date
       Parent Eligibility start date
       Parent Eligibility end date
       Funding Source
       Funding Source begin date
       Funding Source end date
       Out of Pocket Amount paid
       Out of Pocket Amount paid begin date
       Out of Pocket Amount paid end date
       Authorization for Caretaker Reimbursement indicator
       Authorization for Caretaker Reimbursement date
       Parent Co-Pay Fee Waiver End Date
       Parent Co-Pay Fee Waiver Reason
       Parent Co-Pay Fee Waiver Start Date
       Parent Waiting List End Date
       Parent Co-Pay Fee Start Date
       Child Care Enrollment Effective Date
       Daily Child Care Parent Co-Pay Fee Amount
       Child Care Parent Co-Pay Fee Total Amount
       Child Care Parent Co-Pay Fee Termination Date
       Child Care Parent Co-Pay Fee Schedule
       Child Care Parent Co-Pay Fee Effective Date
       Parent’s Waiting List Priority
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.3.37 Child Care Parent Co-Pay
Program Affected: FF, CC                   Users: Caseworkers, Child Care Workers
        Child Care Parent Co-Pay Fee Reason Type
        Parent’s Waiting List termination reason
        Total Parent Co-Pay Fee Amount
        Weekly Child Care Parent Co-Pay Fee Amount
        Parent’s Waiting List Start Date

       CHILD CARE PARENT CO-PAY (Output)
       Total Parent Co-Pay Fee Amount
       Parent Co-Pay Fee Start Date
       Parent Co-Pay Fee End Date
       Parent Co-Pay Fee Amount per Child
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

Program    Rule
  Type    Number                                                     Rule

CC          1      A caretaker who is eligible for and receiving child care may have a parent co-pay fee.
CC          2      The co-pay fee is the amount assessed as the caretaker’s portion of the total amount that would be paid
                   by the state to the provider.
CC          3      Not all caretakers who are eligible for and receiving child care have a co-pay fee amount.
CC          4      A service type may or may not require a parent co-pay fee for child care assistance.
CC          5      Child Care co-pay fees are set based on a sliding scale, utilizing countable income and household size.
CC          6      Parent co-pay fee for child care assistance is determined by the gross household income used to
                   determine the eligibility for that service type.
CC          7      Parent co-pay fee for child care assistance is determined by the number of family members used to
                   determine the eligibility for that service type.
CC          8      Parent co-pay fees for child care assistance are assessed as a weekly amount. (paper model)
CC          9      Parent co-pay fees for child car assistance are assessed as a daily amount. (EBT model)
CC          10     Parent co-pay fees for child care assistance are assessed on each child.
CC          11     The first child is assessed 100% of the co-pay fee amount for a child for child care assistance.
CC          12     A sibling discount in the parent co-pay fee for child care assistance is assessed for the second and every
                   child thereafter at 75% of the first child’s amount.
CC          13     The parent co-pay fee assessment starts when the child starts attending child care.
CC          14     The parent co-pay fee assessment ends when the child’s eligibility for child care assistance terminates.
CC          15     The parent co-pay fee assessment ends when a child is terminated at a specific provider. (paper model)
CC          16     The parent co-pay fee assessment may end prior to a child’s termination in care for other reasons by
                   policy.
CC          17     The caretaker pays the parent co-pay fee amount directly to the child care provider.
CC          18     The parent co-pay fee amount is deducted from the provider’s gross payment amount for that child.
CC          19     Each child on a service type that requires a parent co-pay fee for child care assistance may have the
                   parent co-pay fee waived.
CC          20     The amount of the parent co-pay fee owed for a previous period will be waived if the reason was due to
                   some action over which the department had control and responsibility.
CC          21     A parent co-pay fee may be assessed for a backdated period when the parent eligibility is backdated.
CC          22     The amount of the parent co-pay fee owed for a previous period will not be waived if the reason was due
                   to some action over which the caretaker had control and responsibility.
CC          23     When a parent or caretaker is SSI, or in cases where the only family income is child support payments
                   with no earned income, the parent co-pay fee may be waived.
CC          24     A caretaker is required to report changes within 10 calendar days of the change.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
Program    Rule
  Type    Number                                                       Rule

CC          25     Changes which will affect income and household size will require parent co-pay fees to be reassessed.
CC          26     Caretaker co-pay fees will be reassessed anytime the case is re-determined.
CC          27     An advance notification will be sent to caretaker and provider at least 10 calendar days before the parent
                   fees are to increase unless the change is being made in the last 10 days of eligibility.
CC          28     An increase in parent co-pay reported in last 10 days of eligibility will take effect at the end of the
                   eligibility period.
CC          29     The parent co-pay fee for a school age child on a school calendar needing part-time care during the
                   school year will remain at the part-time rate throughout the school year even when there is a school-out
                   day.
CC          30     The parent co-pay fee for a school age child on a school calendar will change from part-time fee to full
                   fee during the summer months when school is not in session if the parent needs care during the summer
                   and will revert back to part-time fee when school begins again.
CC          31     If the caretaker needs fulltime care for a school age child on a school calendar, the fee will be assessed
                   at the fulltime rate regardless of whether school is in session or not.
CC          32     If the caretaker fee amount decreases, a 10 day advance notice is not necessary.
CC          33     An individual whose child care service type is transferring from a type with a parent co-pay fee to a
                   service type that has no parent co-pay fee will have the co-pay stopped effective the day of the funding
                   source transfer.
CC          34     The provider is responsible for collection of parent co-pay fees.
CC          35     The provider must notify the department in writing within two (2) calendar weeks of the parent’s failure to
                   pay her co-pay fee.
CC          36     The child care case worker shall make contact with a parent reported to be delinquent in paying the co-
                   pay fee in an effort to determine why the parent has become delinquent.
CC          37     If a parent fails to pay the co-pay fee amount, the provider retains the right to pursue formal collection or
                   to terminate child care services.
CC          38     A parent with delinquent parent co-pay fees can not transfer a child from one provider to another until the
                   parent satisfies the assigned parent co-pay fee obligation except in emergency situations such as child
                   abuse or allegations of child abuse, child health and safety issues.
CC          39     The caretaker who has unpaid parent co-pay fees can remain with the current provider until the
                   obligation is satisfied or the parent can request enrollment to be closed.
CC          40     A child care enrollment can not be made if a parent has a delinquent co-pay fee for which she/he has not
                   resolved by either paying the provider or by working out a repayment plan with a provider.
CC          41     The department is not involved in any financial obligations arranged between a parent and a provider
                   over rate cost differences or other miscellaneous fees not covered by the state.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
Program    Rule
  Type    Number                                                     Rule

CC          42     The parent co-pay fee assessment continues during the period of attendance in child care regardless of
                   the number of days of child absences.
CC          43     Failure to pay parent co-pay fees to a provider may result in case closure.
CC          44     The parent co-pay fee assessment ends when a child’s eligibility or child care ends (case closes) - (EBT
                   model).
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
                   1.3.37
          Child Care Parent Co-Pay



                                                                                                                      Child Care
                                                                                                                     Parent Co-Pay
                                                                                                        Living
                                             Service Type                                            Arrangement
                                                 Fee
                                                                                    Income                            Relationship
                       Child's Child
                                                             Relationship
                      Care Eligibility

                                                                                                                                 Service Type
                                                                                                                                     Fee


                                                                                                    Determine &
   Parent's Child                           Determine if                     Co-Pay                                               Child's Child
                                                                                             Yes   Record Co-Pay
   Care Eligibility                      Parent has Co-Pay                  Required?                                            Care Eligibility
                                                                                                      Amount




                                                                               No
                                             Child Care
                                            Parent Co-pay                                                          Parent's Child
                                                                                                                   Care Eligibility
                                                                             STOP




                                                                                                   Determine and
                                                                                                      Record                Child Care
                                                                                                    Fee Waiver             Parent Co-Pay
                                                                                                     (Optional)

				
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Description: Tennessee Termination of Employment Waiver 21 Days document sample