Instructions: Enter the application date.See Child Care Subsidy: Application process 340:40-3-1

This is the day the client contacts the Agency and requests services.

Instructions: Enter the date eligibility begins.See Child Care Subsidy: Application process 340:40-3-1

Instructions: Enter the appropriate code for action taken:

• 1 = Opened.
• A = Application.
• 2 = Denied.
• C = Change of information only.
• 6 = Closed.
• R = Re-Opened.

Instructions: Use for denial and closure actions only. The following codes from Appendix U may be used:

• 01 = Death.
• 03 = Excessive Income (K16=5A) – agency standard
• 04 = Change in providers.
• 5B = Alternative caregiver is available.
• 5D = Parent/caretaker not employed
• 5E = Parent/caretaker not in school
• 5F = Parent/caretaker not in training.
• 5G = Need not met for a two parent/caretaker family.
• 5J = Need not met for single parent / caretaker
• 07 = Ineligible provider.
• 09 = Provider’s request.
• 7A = Provider contract terminated – State Office use only.
• 15 = Resources in excess of $1 million.
• 22 = Services to be given in another case (K16=06).
• 26 = Eligibility period has ended (TANF and SNAP E&T cases only).
• 36S = FSS-BR-1 not completed.
• 40 = Failure to meet citizenship or qualified alien requirements.
• 42 = Moved out of state.
• 43 = Unable to locate.
• 45 = Failed or refused to provide necessary verification within time allowance.
• 46 = Client’s request (K16 = 08).
• 44 = Client’s failure to cooperate. (K16 = 5C).
• 55 = Job Search eligibility period has ended.
• 81 = Plan of service completed.
• 88 = EBT inactivity (State Office use only).
• 99 = State Office use only.

NOTE: This box will not show any options unless the Action Taken is denial or closure.

Instructions: Enter the date for which the action taken becomes effective.NOTE: Positive changes can be made effective the first day of the current month. Negative changes are effective no less than 10 days after the action is taken. Negative changes made after the 27th of the month are effective the 1st day of the following month.

Instructions: Enter the correct number of months for unfinished status.For unfinished issuance enter 01, 02, or 03.

For all other certifications enter 99.

Instructions:
CERTIFICATION: Enter the first of the certification month. For example, if the certification date in E2 is 12/15/17, enter 12/01/17.REVIEW: Enter the next effective date following the review month. For example, if the review is completed in December 2017, enter 01/01/18. E5 and E7 should match.If SNAP benefits are being issued on a benefit reporter case when child care is certified, the System will automatically synchronize the review with section C as follows. Do not attempt to sync the dates manually.

• The SNAP cert date (if the current date is within the first six months of the SNAP cert period)
• The SNAP cert date + 06 months (if the current date is in the second six months of the SNAP cert period)

If a benefit reporter child carte case is certified for SNAP, the system will automatically synchronize E7 with the certification date for SNAP in C2. Again, do not attempt to synch the dates manually.

Instructions: Computer generated by counting number of persons with F24=K and F25= A, or O and age is less than 18 by date of birth.

Instructions: Computer generated by counting number of persons with F24=K and F25= A, or O and age is greater than 18 by date of birth.

Instructions: Enter the source of the Child Care application:

• CO = County Office
  LV = OKDHSLive! (Entered by system if Child Care application is received through OKDHSLive!)

Instructions: Enter the appropriate code:

• N = Not receiving Adult Day Services.
• Y = Receiving Adult Day Services.
• Default Value is N.

Instructions: Computer entered when TANF case is closed.  Social services specialist may update the date when TCC is lost before the expiration date.

Instructions: Computer generated from Section F.  Sum F64 from all persons where F24=K and F25=A or O.

Instructions: Computer generated from Section F. Sum of  F66  from all persons where F24=K and F25=A or O.

Instructions: Computer generated from Section F.  Sum of  F68  from all persons where F24=K and   F25=A or O.

Instructions: Computer generated from section data.

Instructions: Computer generated from Section F. Sum of F85, F88, F91, F95 and F98-F103 for all persons where F24=K and F25=A or O. NOTE: Adoption Subsidy or Foster Care payments in Other Income blocks F98 or F103 are automatically excluded if the Other Income Indicator in F99 or F104 is F.

Instructions: Enter verified amount of legally binding child support payment made on behalf of non-household members.NOTE: This allows for a deduction and a lower family co-pay.

Instructions: Enter amount of income to be subtracted from gross income to allow for any policy variances for the household’s countable income.NOTE: This field diverts income only from the child care computation. This field is often used when the client has not actually received a pay check, but has income considered for another benefit.

Instructions: Computer generated sum of E41 and E44 minus the total diverted and child support deduction.

Instructions: Computer generated by counting number of children who are coded F24=K and F25=A.

Instructions: Computer generated from E49 net income, number in the household (E10 + E11), and applicable policy.

Instructions: The computer system sets this block according to the entry in E5 Effective Date.

Instructions: Enter amount of child care payment other than the family share co-payment made directly to child care provider by someone outside of the household.

Instructions: Resources declaration (for Child Care only). Enter the selection that indicates whether the household has resources worth in excess of $1,000,000.

• Y = Yes
• N = No

Instructions: Enter the appropriate code for the action taken on the Benefit Review/Renewal:

• C = Complete.
• F = Paper app received – Not yet reviewed.
• I = Incomplete or referred to Tier 2 Worker.
• P = All information provided – Processing center has received all information needed for review and referred to Tier 2 Worker.
• V = More verification required
  • Processing staff has requested more information.
• X = Review/renewal submitted on OKDHS Live!, not yet reviewed by processing center.

Instructions: Enter the date the Benefit Review Report (FSS-BR-1) was received in the county office.

Instructions: Computer Generated Field – the computer will set the Benefit Review Report Status based on the case record

• A = Annual Reporter