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CCMTL 64 (Copayments, Eligibility and Reimbursement eff. 7/1/05 - ARCHIVE)
Child Care Manual Transmittal Letter No. 64
July 11, 2005
TO: All Child Care Manual Users
FROM: Barbara E. Riley, Director
SUBJECT: July 1, 2005 Changes in Income Eligibility, Copayments and Provider Reimbursement Rates

This letter transmits changes to the monthly income standards for child care eligibility, monthly child care family copayments and reimbursement rates for providers of publicly funded child care services. These changes are effective July 1, 2005.

The department is increasing the maximum monthly gross income to amounts that are equal to 185% of the 2005 federal poverty levels (FPL). A chart is being added as "Appendix A" to rule 5101:2-16-30 Program Eligibility Requirements for Publicly Funded Child Care Benefits that displays family size and the corresponding maximum monthly gross income. The Maximum Monthly Gross Income per Household Size chart must be used for all determinations of eligibility including initial eligibility, six-month copayment reviews and twelve-month redeterminations. Any future changes in income eligibility levels will be made by revising this chart. This letter obsoletes the information and instructions in Child Care Manual Procedure Letter No. 9 dated March 11, 2004.

The Monthly Child Care Family Copayment Table, which is "Appendix A" of rule 5101:2-16-39 Monthly Family Copayment for Publicly Funded Child Care Benefits, has been revised based on the 2005 FPL. Copayments will not exceed 10% of a family's monthly income and will be automatically calculated by the CCIDS/3299 system. The revised Monthly Child Care Family Copayment Table shall be used to advise families of copayment amounts when determining initial eligibility, six-month copayment reviews and twelve-month redeterminations.

Ohio Revised Code 5104.30 directs the department to determine rates of reimbursement for providers based upon appropriate criteria. In 2004, in cooperation with the Ohio State University (OSU) Center for Survey Research, the department conducted a market rate survey which led to the development of revised market sectors and new payment rates for providers. A summary and the analysis of the survey is on the department's website at: http://jfs.ohio.gov/cdc/providers.stm The new reimbursement rates are set at the 65th percentile of the child care market rates collected in the OSU survey.

OAC 5101:2-14-01 Definitions for Certification of Type B Home Providers and OAC 5101:2-16-01 Definitions for Eligibility for Publicly Funded Child Care Benefits have been amended in order to change the titles, remove definitions that will no longer be accurate, clarify existing language, and add new definitions based on the new rule language.

5101:2-16-30 Program Eligibility Requirements for Publicly Funded Child Care Benefits is a new rule. The new rule contains the program eligibility requirements that a caretaker must meet to receive child care benefits. Eligibility requirements for training and education activities, protective child care and benefits for those seeking employment or who are scheduled to enroll in training or educational activities have been clarified to comply with language in statute. 5101:2-16-30 Publicly Funded Child Care Program Requirements is being rescinded. "Appendix A" has been added with income eligibility limits.

5101:2-16-39 Monthly Family Copayment for Publicly Funded Child Care Benefits has been revised to clarify language. "Appendix A" has been revised with the updated copayment amounts.

5101:2-16-39.1 Implementation of Copayment Changes for Publicly Funded Child Care with Appendix A has expired.

OAC 5101:2-16-41 Reimbursement Ceilings for Child Care Providers is being rescinded and replaced with 5101:2-16-41 Reimbursement Rates for Providers of Publicly Funded Child Care, which presents the proposed new language for reimbursement amounts, payment methods and tables that list all reimbursement rates. There are now five tables showing the reimbursement rates for each provider type. The rule changes require reimbursement to providers for full-time weekly, part-time weekly, or hourly services. A full-time week is twenty-five hours and above and a part-time week is seven hours to twenty-four and nine-tenths hours. Daily rates will no longer be a payment option. Hourly rates are paid to center and type A providers for those hours of care that exceed sixty hours per week, to home providers for those hours of care that exceed fifty hours per week, and to all providers for those hours of care provided for less than seven hours a week.

This letter also transmits the following revised forms:

The JFS 01140 "Certificate of Authorization for Payment of Publicly Funded Child Care Services" (COAP) has been re-titled and revised to align with department forms design requirements and to clarify language.

The JFS 01224 "Contract for Purchase of Publicly Funded Child Care Services" has been re-titled and revised to clarify language and to incorporate new rule requirements. Contracts with providers shall be amended according to procedures determined by the CDJFS.

INSTRUCTIONS:

The following chart depicts the materials that should be removed from and inserted into the Child Care Manual (CCM).

LOCATIONREMOVE AND FILE AS OBSOLETEINSERT / REPLACEMENT
FAMILY ELIGIBILITY  
Publicly Funded
Child Care Benefits
5101:2-16-015101:2-16-01
 5101:2-16-30 5101:2-16-30
with Appendix
 5101:2-16-39 5101:2-16-39
with Appendix
  5101:2-16-39.1
with Appendix A
 
Child Care Reimbursement,
Fraud and Overpayments
  
Reimbursement Rates 5101:2-16-41
with Appendix A
5101:2-16-41
with Appendix A
   
Child Care Provider
Certification Regulations
  
Professional Certification
Procedures
5101:2-14-015101:2-14-01
Child Care Manual
Appendix
JFS 01140JFS 01140
JFS 01224JFS 01224
Procedure LettersCCPL No. 9 
Transmittal Letters CCMTL 64