Non-Suitability Determination of In-Home Relative WCCC Provider
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Non-Suitability Determination of In-Home Relative WCCC Provider


Revised January 2, 2014


Using available medical evidence in determining a person is appropriate for WCCC payments as an In-home/relative provider


Purpose: To provide social service specialists with guidelines and the process for using information we have, when the provider has been in our system through ABD cash or the HEN Referral program and they are applying to be paid through the Working Connection Childcare.

Clarifying Information

When a person is receiving ABD cash or HEN Referral services and we have medical, social or criminal information available, use the following process to determine if available medical evidence (physical or mental impairments) indicates the person is unable to meet the needs of caring for a child/children and therefore not suitable to receive WCCC payment as an in-home/relative provider.

See WAC 170-290-0135 and subsection 6 of  WAC 170-290-0140.


Worker Responsibilities

  1. Review the “letter of recommendation” from 3rd party who knows the provider.  This letter must be included in the WCCC referral.
  2. Review medical evidence in the person’s case records including incapacity evaluations, supporting evidence from assessments, and Social Security documents.
  3. Review the person’s statement about their ability to perform functions and responsibilities listed in WAC 170-290-0135.
  4. If the medical evidence conflicts with the statement from either the third party or the person, we deny the payment for childcare.
  5. Notify WCCC worker of the decision to deny.
  6. Document your findings in eJAS or ICMS notes.

NOTE:

You cannot disclose details about our findings to the consumer due to confidentiality.   All you can disclose is that the provider did not pass the character and suitability review.  You may discuss your findings with the provider.      


EXAMPLE

Applicant provider eligible for a HEN referral.  Medical report shows provider is unable to work due to a broken leg.  Provider is performing childcare for 2 children ages 9 and 12.  Provider uses crutches to walk, is able to fix the children breakfast, and help them with their homework after school.  Childcare subsidy payments could be authorized for this provider.


EXAMPLE

Applicant provider is receiving ABD cash due to mental health incapacity.  Provider is applying for childcare for 1 grandchild age 3.  Psychological report states provider should continue to apply for SSI and is chronically mentally ill.  The report reveals severe functional limitations, including the ability to interact appropriately in public and maintain hygiene. Third party statement states grandparent is good with child and takes child to park daily.  The third party statement is not consistent with the medical report.  This provider is not suitable for childcare subsidy payments.

Modification Date: January 2, 2014