218 R.I. Code R. 218-RICR-20-00-4.6 - Criteria for Income Eligibility
4.6.1
General
Requirements and Criteria
A. Working
families, where a parent(s) is participating in an approved education or
training program, or an approved college program as well as TFD participants
not receiving RI Works cash assistance who meet the general requirements in
§
4.3 of
this Part and the following criteria may be CCAP income eligible:
1. Financial Determination
a. The countable income of the financial unit
shall be at or below two hundred sixty-one percent (261%) of the Federal
poverty level (FPL), based on family size.
(1)
Transitional Child Care allows families currently eligible for child care to
continue to receive child care after their income exceeds two hundred sixty-one
percent (261%) of the Federal poverty level (FPL), as long as income remains
below three hundred percent (300%) FPL.
(2) When income rises above three hundred
percent (300%) of the FPL the family is no longer eligible.
(3) New child care assistance applicants with
income over two hundred sixty-one percent (261%) of the FPL will not be
eligible for Transitional Child Care.
(4) Eligibility for Transitional Child Care
will be determined at normal recertification times.
(5) Families found eligible will be continued
on Transitional Child Care until they reach three hundred percent (300%) of the
FPL.
(AA) If approved for Transitional Child
Care and income later falls below two hundred sixty-one percent (261%) of the
FPL, at recertification, eligibility for Transitional Child Care ends and an
application for Child Care Assistance under the regular CCAP can
occur.
(BB) Families are eligible
to resume Transitional Child Care if their income were to again rise above two
hundred sixty-one percent (261%) of the FPL.
b. The income of self-employed families shall
be calculated as outlined in the Rhode Island Works Program Rules and
Regulations, § 2.15.4 of this Subchapter.
c. In the process of determining eligibility
for the CCAP, prospective budgeting is used. Eligibility is established based
on the knowledge and reasonable expectation of what income and circumstances
will exist in the month for which a payment is authorized.
(1) Weekly income for these cases is
converted to a monthly amount using the 4.3333 weeks per month conversion
method.
(2) The projected estimate
of income is valid for the following periods:
(AA) Between the initial determination of
eligibility and redetermination;
(BB) Between redeterminations; and
(CC) Following a change in income or
circumstances which is reported by the recipient or discovered by the
Department.
B. Treatment of Resources
1. A determination of eligibility requires a
review of the family's liquid resources.
a. A
family is required to declare if they have assets in excess of one million
dollars ($1,000,000). Applicant declaration is considered verification of
assets at initial eligibility and at redetermination unless the stated
resources are close to limit or there is other reason to require
verification.
b. The request for
verification shall be at the discretion of the DHS representative if the
information given is inconsistent or questionable from information known to the
Department.
c. The value of liquid
resources must be counted toward the one million dollar ($1,000,000.00) liquid
resource limit. If the combined value of the child's or the family's liquid
resources exceeds the one million dollar ($1,000,000.00) liquid resource limit,
the family is ineligible and the application is denied or eligibility for
assistance is discontinued.
2. Liquid resources are defined as any
interest(s) in property in the form of cash or other financial instruments or
accounts that are readily convertible to cash or cash equivalents.
a. These include, but are not limited to
cash, bank, credit union or other financial institution savings, checking and
money market accounts, certificates of deposit or other time deposits, stocks,
bonds, mutual funds, and other similar financial instruments or
accounts.
b. These do not include
educational savings accounts, plans, or programs; retirement accounts, plans,
or programs; or accounts held jointly with another adult, not including a
spouse, living outside the same household but only to the extent the
applicant/recipient family documents the funds are from sources owned by the
other adult living outside the household, plus the proportionate share of any
interest, dividend, or capital gains thereon.
3. Bank accounts are liquid resources.
Verification of bank accounts is required only if the value of the account is
near one million dollars ($1,000,000), at initial certification or
recertification. The same procedures employed at certification are used at
recertification.
4. The
applicant/recipient's statement is acceptable for verification of resources
unless the household is near the resource maximum limit, or the information
given is inconsistent or questionable from information known to the Department.
The same procedures employed at certification are used at
recertification.
5. In order to be
countable in the determination of the CCAP eligibility, a resource must be
available to the individual. The individual must be able to use the resource to
provide food, shelter, clothing, or convert it into a form in which it can be
used to meet needs:
a. A resource is
considered to be available both when actually available, and when the applicant
has the legal ability to make such sum available for support and
maintenance;
b. Resources are not
available when a legal impediment exists which precludes the applicant from
making the resource available for support, maintenance or child care payments;
and
c. Applicants/recipients are
required, as a condition of eligibility, to cooperate with the Department in
making resources available.
6. Countable liquid resources are determined
as of the First Moment of the Month (FOM).
a.
The determination is based on the liquid resources the individuals own, their
value, and whether or not they are excluded as of the first moment of the
month.
b. The FOM rule establishes
a point in time at which to value liquid resources; and
c. If countable liquid resources exceed the
limit as of the first moment of a month, the recipient is not eligible for that
month, unless the liquid resources are reduced by expenditure on certain
allowable expenses. Expenses that may be used to reduce liquid resources, to
attain or retain eligibility, in the CCAP are:
(1) Any and all expenses related to payment
for education or child care for members of the family unit;
(2) Contributions to educational savings
accounts, plans or programs owned by any member of the family unit;
and
(3) Contributions to retirement
accounts, plans or programs owned by any member of the family unit.
7. Whenever the
applicant is a joint account holder who has unrestricted access to the funds in
the account, all of the funds in the account are presumed to be the resources
of the applicant. The applicant is offered the opportunity to submit evidence
in rebuttal as described below.
a. A
successful rebuttal results in finding that the funds (or a portion of the
funds) in the joint account are not owned by the applicant and, therefore, are
not the resources of the applicant.
b. In order for a household member to
demonstrate a lack of ownership, or only partial ownership of a resource, two
(2) of the following sources of documentation must be presented as evidence:
(1) Documents showing the origin of the
resource;
(2) Documentation through
Federal or State tax records as to which of the joint account holders declares
the tax on the interest credited to the account as income;
(3) Records of who makes deposits and
withdrawals and, if appropriate, of how withdrawn funds are spent. The person
claiming a lack of ownership (or accessibility) should not have made any
withdrawals;
(4) A notarized
affidavit that details a written or oral agreement made between the parties
listed on the resource or by someone who established or contributed to the
resource, with respect to the ownership of the funds in the resource;
(5) When the household member states that
s/he does not own a bank account but is listed as a co-holder solely as a
convenience to the other co-holder to conduct bank transactions on his/her
behalf, evidence of the age, relationship, physical or mental condition, or
place of residence of the co-holder must be provided; or
(6) A signed, notarized statement from the
household member and from either other individual(s) listed in the joint
account, or the person who established or contributed to the account, stating
that the applicant or recipient had no knowledge of the existence of the
account.
c. A document
or piece of evidence submitted to verify a particular fact does not count as
more than one (1) verification under the above Sections. However, a document,
piece of evidence or a statement may address more than one (1) fact needed for
verification.
d. If a household
member cannot demonstrate that s/he is not the owner of the account through the
submission of two (2) of the above listed documents, the rebuttal must be
denied.
C.
Family Cost Sharing Requirement
1. Eligible
families with countable income above one hundred percent (100%) of the FPL
shall pay a share of the expense for the child care services.
a. The family shall be assessed for a share
of the cost for authorized services (formerly referred to as co-payment) based
on a percentage of the gross countable income for families at each
level.
b. The family share and
income guidelines are set in accordance with the CCAP Cost-Sharing Payment Rate
Table.
c. The income levels and
percentage range of family shares are as follows:
|
LEVEL |
FEDERAL POVERTY LEVEL |
AMOUNT |
|
Level 0 |
Less than or equal to 100% |
No Family Share |
|
Level 1 |
Above 100% up to and including 125% |
2% of Countable Gross Income |
|
Level 2 |
Above 125% up to and including 150% |
5% of Countable Gross Income |
|
Level 3 |
Above 150% up to and including 261% |
7% of Countable Gross Income |
|
Level 4 |
Above 261% up to and including 300% |
7% of Countable Gross Income |
d.
Income levels zero through three (0-3) are co-share amounts for on-going or new
applicants. Income level four (4) is the co-share amounts for CCAP participants
receiving Transitional Child Care.
e. Current CCAP Eligibility and Cost-Sharing
levels by Gross Income Adjusted for Family Size are found here
https://dhs.ri.gov/programs-and-services/child-care/child-care-assistance-program-ccap/ccap-family-eligibility-how
on the DHS website.
2.
The family share shall be determined without regard to the number of eligible
children who are enrolled or the total of services utilized.
a. The family share shall be assigned to the
youngest eligible child enrolled in care, that is, the eligible child who
receives authorized services paid at the highest rate.
b. The family share shall only be distributed
among providers when the total amount of the family share assigned exceeds the
rate paid for the youngest eligible child enrolled.
3. A family's share of the cost for child
care services approved for the CCAP payment shall be recalculated any time that
the family reports a change and submits supporting documentation, or at
recertification. The DHS shall recalculate the family's share of the cost for
the CCAP authorized services during the certification period and will adjust
the family share only if the family submits documentation that would result in
the lowering of the family share amount.
4. The Notice of Approval for child care
assistance shall indicate whether a family is required to pay a share of the
cost for authorized child services based on countable income.
a. The Approval Notice shall indicate to the
family the exact amount of their family share and the calculations used to
determine that amount.
b. The
family shall also be informed of the amount of their family share and which
provider(s) to pay in the Confirmation of Enrollment letter.
4.6.2
Need for Services
A. To be
authorized for income-based CCAP child care services, the parent(s) shall have
an acceptable need for services related to employment, or an approved
educational or training program.
1. General
Criteria: Income Eligible
a. For there to be
an acceptable need for services in a two (2) parent home, each parent shall be
employed a minimum of an average of twenty (20) hours per week in a month and
require the CCAP child care services in order to work in accordance with the
Section below, entitled, Limitations.
(1) The
twenty (20) hours per week minimum requirement cannot be met by combining the
working hours of both parents, but must be met individually by each working
parent.
(2) In addition, the
working parents shall each earn, per hour, an average of the greater of either
the State or Federal minimum wage.
b. For there to be an acceptable need for
services in a one (1) parent home, the parent living in the household shall be
employed a minimum of an average of twenty (20) hours per week in a month, earn
per hour an average of the greater of either the State or Federal minimum wage,
and require the CCAP child care services in order to work.
2. Program-Specific Criteria: Non RI Works
cash assistance TFD Participants
a. To obtain
the CCAP authorized services, non-RI Works teens applying for income
eligibility shall meet the applicable general criteria as well as the following
program-specific criteria:
(1) The applicant
parent shall be a TFD participant without a high school degree or its
equivalent; and
(2) The applicant
TFD parent shall be employed, attending school or participating in education
related activities, or engaged in some combination thereof for a minimum of
twenty (20) hour per week, on average, in a month.
b. The CCAP child care services for TFD
participants who meet these requirements will be authorized for a period of no
less than twelve (12) months.
3. Program-Specific Criteria for Child Care
for Training
a. The Department shall provide
child care to income eligible/low-income families with income below two hundred
sixty-one percent (261%) of the Federal poverty level who are involved in
training, apprenticeship, internship, on-the-job training, work experience,
work immersion, or other job readiness/job attachment programs sponsored or
funded by the Human Resource Investment Council (Governor's Workforce Board) or
State agencies that are part of the coordinated program system pursuant to R.I.
Gen. Laws § 42-10211, or as approved by the CCAP Program
Administrator.
b. To obtain the
CCAP authorized services, such applicants applying for income eligibility shall
meet the applicable general criteria as well as the following program-specific
criteria:
(1) The applicant parent shall be a
participant in an approved training, apprenticeship, internship, on-the-job
training, work experience, work immersion, or other job readiness/job
attachment programs sponsored or funded by the Human Resource Investment
Council (Governor's Workforce Board) or State agencies that are part of the
coordinated program, or other training program as approved by the CCAP
Administrator and require the CCAP child care services in order to take part in
the job readiness/job attachment activities; and
(2) The applicant parent shall be
participating in approved education or training activities for a minimum of
twenty (20) hours per week, on average, in a month. The CCAP child care
services for participants who meet this requirement may be authorized for a
period of no less than twelve (12) months.
c. For there to be an acceptable need for
services in a two (2) parent home, one (1) parent shall be participating in
approved education or training activities, and the other parent shall be
participating in approved education or training activities or employed for an
average of twenty (20) hours per week in a month and require the CCAP child
care services in order to participate in the activity.
(1) In addition, any parent with earned
income outside of the approved education and training program shall earn, per
hour, an average of the greater of either the State or Federal minimum
wage.
d. For there to be
an acceptable need for services in a one (1) parent home, the parent living in
the household shall be participating in approved education or training
activities for a minimum of an average of twenty (20) hours per week in a
month.
4.
Program-Specific Criteria for Child Care for College
a. The Department shall provide child care to
Income Eligible/Low- income families with income below two hundred sixty-one
percent (261%) of the Federal poverty level who are enrolled in an Associate's
degree or Bachelor's degree program at a Rhode Island public institution of
higher education.
b. To obtain CCAP
authorized services, such applicants applying for income eligibility shall meet
the applicable general criteria as well as one (1) of the following
program-specific criteria:
(1) The applicant
parent shall be enrolled in a Rhode Island public institution of higher
education for a minimum of seven (7) credit hours in the semester of
application.
(AA) Per the New England
Association of Schools and Colleges (NEASC) accreditation requires that faculty
assign two (2) hours of outside work for every one (1) hour spent in the
classroom. Therefore, a student taking seven (7) credit hours is participating
in twenty-one (21) hours of school activity and meeting the weekly activity
requirements a minimum of twenty (20) hours per week, on average, in a month.
CCAP child care services for participants who meet this requirement may be
authorized for a period of no less than twelve (12) months or;
(2) The applicant parent shall be
enrolled in an Associate's degree or Bachelor's degree program at a Rhode
Island public institution of higher education and be employed with the
combination of approved college based credit hours and work hours equaling at
least twenty (20) hours per week.
c. For there to be an acceptable need for
services in a two (2) parent home, both parents shall each be participating in
one (1) of the following:
(1) Approved
education or training activities;
(2) Employed for an average of twenty (20)
hours per week in a month;
(AA) Any parent
with earned income outside of the approved education and training program shall
earn, per hour, an average of the greater of either the State or Federal
minimum wage.
(3)
Enrolled in an Associate's degree or Bachelor's degree program at a Rhode
Island institute of higher education with a minimum of twenty (20) college
credit hours; or
(4) Employed and
enrolled in an Associate's degree or Bachelor's degree program at a Rhode
Island institute of higher education with a combination of approved college
credit hours and work hours equaling at least twenty (20) hours per
week.
d. For there to be
an acceptable need for services in a one (1) parent home, the parent living in
the household shall be enrolled in college for a minimum of seven (7) credit
hours to meet an average of twenty (20) hours per week in a month or employed
and enrolled in an Associate's Degree or Bachelor's degree program at a Rhode
Island institute of higher education with a combination of approved college
credit hours and work hours equaling at least twenty (20) hours per
week.
4.6.3
Limitations
A. The need for child care services shall be
related to the periods of time in which no parent is available to provide care
for the child as a result of employment or education or training. The CCAP
child care services shall not be authorized for an otherwise income eligible
child under the following circumstances:
1. A
parent of the eligible child is self-employed as a child care provider, and is
requesting payment for care they provided to their own child or another child
living in the same household.
2. A
parent is providing the child care, irrespective of whether the parent lives in
the same household as the eligible child(ren);
3. A person living in the same legal
residence of the eligible child(ren) is providing the child care;
4. The applicant parent's sole source of
income is derived from rental and/or room and board income, and the need for
services is based on activities related to obtaining or collecting that
income;
5. The applicant parent's
need for services is based in part or in whole on time spent working as a
volunteer, or in any similar capacity in which no wages are earned, paid, or
expected. Unpaid work of this kind also shall not count toward the minimum
number of work hours required for the CCAP income eligibility; or,
6. Such activities shall not be considered
employment for the purposes of this Section and, as such, shall not count
toward the minimum number of hours of work required to establish a need for the
CCAP authorized child care services.
4.6.4
Exceptions
A. In certain circumstances, families unable
to meet the need for services requirements may qualify for an exception that
allows authorization of the CCAP services. The exceptions are as follows:
1. Parents with Disabilities
a. The CCAP services may be authorized if one
(1) of the parents in a two (2) parent home or the parent in a one (1) parent
home does not meet the employment, training or college requirements for
approved activity because of a disability and the family provides written
verification from a licensed health care practitioner, program or facility,
qualified to make such a determination, indicating that the parent without an
approved activity cannot provide appropriate, routine care of the child due to
a neurophysiological, psychological or emotional disorder, physical impairment,
or serious health condition.
(1) Requests for
an exception shall be made by submitting Department approved form along with
the required medical documentation.
(2) Any health information requested or
obtained for the purposes of this Section shall be subject to the privacy
protections established in State law and the Health Insurance Portability and
Accountability Act of 1996 (HIPAA),
Pub. Law
104-191 .
b. Employed parents determined to have
disabilities may be exempt from meeting the minimum number of hours of work and
the minimum wage requirements required to establish a need for services set
forth in this Section.
c. An
exemption shall not be granted until an assessment by an appropriate entity or
provider of the parent's condition is complete, a final determination of
disability is made, and the documentation verifying the parent's disability is
submitted to the DHS.
d. Notice of
the decision shall be provided to the parent requesting the
exemption.
2. Temporary
Change in Status
a. A temporary change in the
ongoing status of the child's parent as working or attending a job training or
educational program shall include:
(1) Any
time-limited absence from work for an employed parent due to the need to care
for a family member or an illness;
(2) Any interruption in work for a seasonal
worker who is not working between regular industry work seasons;
(3) Any student holiday or break for a parent
participating in training or education;
(4) Any reduction in work, training or
education hours, as long as the parent is still working or attending training
or education; or
(5) Any other
cessation of work or attendance at a training or education program that does
not exceed three (3) months.
b. A temporary change in status is considered
to be within the parameters of employment, approved education or training and
will not adversely affect the ability to utilize the CCAP authorized
care.
3. Non-Temporary
Change in Status
a. A parent(s) who
experiences a non-temporary change in employment, education or training status
due to loss of work or cessation of attendance at an approved education or
training program shall continue to receive the CCAP services for three (3)
months for each loss or cessation in order for the parent(s) to resume work or
attendance in an approved education or training program.
b. The three (3) month grace period shall be
applied as follows:
(1) The grace period will
be applied when there is less than three (3) months of the existing twelve (12)
month certification period when the loss of employment, education, or training
status occurs and will extend the twelve (12) month certification period with
the same level of coverage.
(2) At
the end of the grace period, a parent(s) engaged in qualifying employment or an
approved education or training program shall be assessed for a new twelve (12)
month certification period according to Income Eligibility
guidelines.
(3) The three (3) month
grace period will not be extended if there has been no entry into employment,
or into an approved education or training program.
4. Temporary Active Job Search
a. A parent engaged in an active job search
at application may be eligible for temporary CCAP benefits subject to certain
guidelines and limitations.
(1) To obtain the
CCAP authorized services, applicants applying for income eligibility shall meet
the applicable general criteria as well as the following criteria related to a
temporary active job search:
(AA) The
applicant parent shall be actively engaged in a job search and require the CCAP
child care services in order to take part in the job readiness/job search
activities; and
b. For there to be an acceptable need for
services in a two (2) parent home, one (1) parent shall be participating in an
active job search and the other parent shall be participating in approved
education or training activities or employed for an average of twenty (20)
hours per week in a month and require the CCAP child care services in order to
participate in the activity.
(1) In addition,
any parent with earned income shall earn, per hour, an average of the greater
of either the State or Federal minimum wage.
(2) Family co-share will be determined based
on the household income at time of application.
c. For there to be an acceptable need for
services in a one (1) parent home, the parent living in the household shall be
participating in an active job search a minimum of an average of twenty (20)
hours per week in a month.
d.
Eligibility for CCAP benefits when one or both parents have a temporary job
search is limited to 20 hours per week or Half Time (HT) authorization for a
maximum of 3 months from the authorization date.
e. The CCAP child care services for
participants who meet this requirement may be authorized for a period of no
less than twelve (12) months, however if there is no reported income based on
employment within 3 months of the date of authorization, CCAP benefits will
terminate.
(1) If a job is reported prior to
the end of the three-month period, the case will be updated to include the
employment. Benefits may increase at that time based on the hours of
employment, but in no case will benefits be reduced prior to the end of the
twelve (12) month certification period if the applicant reports and verifies
employment that meets employment criteria including a minimum of 20 hours per
week earning the greater of the state or federal minimum wage.
f. CCAP for a Temporary Active Job
Search is limited to one (1) three (3) month period in the twelve (12)month
period following the authorization of benefits and no more than two (2) three
(3) month periods total per household per life time.
5. Short Term Special Approval due to a
Temporary Medical Condition at Recertification
a. At recertification, if an applicant parent
or recipient child experiences a serious health condition that results in a
temporary need for continued CCAP benefits the family may be eligible for up to
two (2) six (6) month extensions of benefits provided:
(1) The parent submits written verification
from a licensed health care practitioner, program or facility, qualified to
make such a determination, indicating that the parent without an approved
activity cannot provide appropriate, routine care of the child due to either
the parent's or child's temporary neurophysiological, psychological or
emotional disorder, physical impairment, or serious health condition that
prevents the parent from providing appropriate care.
(AA) If the need for an extension is based on
the child's health condition, a written verification from a licensed health
care practitioner, program or facility, qualified to make such a determination
indicating that the discontinuation of the CCAP services will have a direct
adverse effect on the eligible child's health and well being is required for
verification.
(BB) If the need for
an extension is based on the parent's health condition, there must be
documented evidence from a qualified health care provider or practitioner that
the health condition of the parent prohibits both employment and the routine
child care activities necessary to maintain the health and safety of the child.
(i) A parent hospitalized as a result of an
acute illness or condition, or bedridden while recovering from an illness or
condition for a limited period, may be eligible to receive partial or full
payment of child care expenses until able to resume employment, subject to the
general restrictions of this Section.
(ii) A parent participating in a prescribed
remediation or rehabilitation protocol, such as substance abuse treatment,
parenting skills training, therapy or counseling, that will lead to the
alleviation of the need for services may be eligible to receive partial or full
payment of child care expenses during treatment, subject to the general
restrictions of this Section. Documentation of a family assessment, conducted
by a qualified provider and/or evidence of enrollment/participation in
prescribed protocol is required.
b. The temporary extension is limited to
income eligible families who have been receiving authorized CCAP services and
have lost or are in jeopardy of losing benefits because of the change in
approved activity directly related to a short-term verified serious health
condition.
(1) The available countable income
of the family must remain within income eligibility guidelines during the
temporary extension.
c.
The temporary extension of benefits under this Section shall be approved, upon
initial request, for up to (6) months, and may only be approved for an
additional (6) months for a maximum of (12) months if the family provides
documentation to the DHS indicating that:
a.
The parent's condition will improve during the additional time to the extent
necessary for the parent to return to work or participate in their RI Works
employment plan, once the extension is over; or
b. The child's permanent placement in a
long-term treatment or special needs program cannot be arranged without
additional time.
d. In
no case shall an extension of benefits related to short-term health conditions
serve as an adjunct to or a substitute for services, administered by other
government agencies or their designees that provide long-term treatment or
otherwise address the special needs of a child. Similarly, an extension of
benefits related to the shortterm health conditions of a parent are not based
on an assessment of whether the successful remediation/rehabilitation can be
achieved and shall not be portrayed as such for any purpose. Accordingly,
authorization of an extension of CCAP benefits under the requirements set forth
in this Section shall not be construed to or in any way mitigate, or otherwise
address, the underlying cause (e.g., impairment, serious health condition,
etc.) creating the need for services.
Notes
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