 Paying for Care During Eligibility Determination  13 Weeks of Care After Loss of Qualifying Activities.

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Presentation transcript:

 Paying for Care During Eligibility Determination  13 Weeks of Care After Loss of Qualifying Activities

 Child care providers may be paid for care they provide while a family’s eligibility for PFCC is being determined. The provider will not be eligible for payment if the applicant is denied because:  Applicant did not submit complete a complete application  The child is not age eligible for PFCC  The provider does not have a provider agreement for PFCC  The applicant had a denied application with payment in the previous 12 months. Provider may appeal a denial due to incomplete application.

 The denied caretaker will not be assigned a copayment.  Provider will be notified that the applicant was denied and if the care provided is eligible for payment.

 Caretaker can receive up to 13 weeks of continued PFCC benefits after loss of qualifying activity.  Calculation of 13 weeks begins with the date the qualifying activity ends, regardless of when county agency is notified.  The continuation period cannot go beyond the end of the current eligibility period.  Caretaker can only receive on continuation in a 12 month period.  Caretaker needs to notify county agency when he/she has new qualifying activity.

 Rules and forms will be in clearance and original filed next week  Public comments and hearing in July  Effective date September 14  Presumptuous Quality: ◦ Multi Site ◦ Programs Offered ◦ New Site Can Assume Quality Level