Transcript EEC Subsidy Review Process EEC Board Meeting May 8, 2012 Why Would A Parent Request A Review? Denial of Care • Lack of service.

EEC Subsidy Review Process
EEC Board Meeting
May 8, 2012
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Why Would A Parent Request A Review?
Denial of Care
• Lack of service need (i.e. not working or working less
than 20 hours per week)
• Lack of financial eligibility (i.e. over income of 50% SMI
or not making minimum wage)
• Failure to submit required documentation at
assessment
Termination of Care
Reduction in Care
• Lack of service need
• Lack of financial eligibility
• Non-payment or late payment of fees
• Unexplained or excessive absence
• Failure to submit required documentation at
reassessment
• Submission of false or misleading
information/documentation
• Failure to comply with EEC, CCR&R or CP policies
• Service need changes from full time to
part time
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How Does A Parent Request A Review?
Whenever a subsidy is
denied, terminated or
reduced, parent must
receive written notice at
least 14 days before
effective date with option
to request a review.
Parent has 14 days after submitting
Request for Review to submit
additional documentation in
support of his/her argument
against the CCR&R’s or CP’s
decision.
If a parent submits
Request for Review form
before the effective date
of termination/reduction,
child care continues during
the review process. EEC
notifies parent of the
continued child care.
Otherwise, parent has 30
days in which to submit
the Request for Review
form in order for EEC to
review the matter.
Within 7 days of receipt of Request for
Review, EEC Review Officer notifies
CCR&R or CP and requests evidence in
support of its decision to
deny/terminate/reduce care. CCR&R or
CP has 7 days from notice by EEC Review
Officer to submit documentation.
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How Does the EEC Review Officer Make Her Decision?
Determines whether parent is challenging legality of state or
federal law (can then uphold decision if so determined);
otherwise, reviews to determine basis for CCR&R’s or CP’s
decision and parent’s argument against the decision
Reviews all information submitted by parent and the CCR&R or CP; may contact
parent, CCR&R or CP for clarification or for additional information. If needed,
requests additional documentation from parent to support his/her argument; may
obtain documentary evidence from local, state and or federal agencies (i.e. RMV,
Board of Assessors office, Registry of Deeds, Secretary of State’s Office)
Written decision made w/in 30 days or as promptly as administratively feasible:
(1) Overturns – allows parent back into care
(2) Upholds – provides at least 2 week notice that care will end; informs parent has 7
days in which to request an informal hearing to appeal decision and that care will
continue if a timely notice of appeal is filed with EEC General Counsel
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History of Requests for Review Received, Processed
and Outstanding
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Steps To Process Outstanding and Future Reviews
Weekly meetings to regularly occur with Review Officers to expedite
outstanding reviews; Financial Assistance Unit has developed
template for CCR&Rs to quickly determine whether families have
remained in care, are no longer in care, and have been recently reassessed.
For open cases, weekly calls (or meetings) will be established with
CCR&Rs to expedite outstanding caseload and obtain outstanding
documentation in order to complete reviews.
Make determinations if there are particular cases that can be
immediately acted on or that can be forwarded to Assistant General
Counsel for review.
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Steps to Process Outstanding and Future Reviews
Provide written guidance by May 11, 2012 to CCR&Rs and CPs to extend
subsidy in particular circumstances (i.e. additional documentation of
paystubs, pending employment, or extenuating circumstances).
Require that all documentation from both parent and CP/CCR&R must be
received within 14 days of receipt of Request for Review and determination
made as soon as possible thereafter.
Strictly enforce that Request for Review must be received within 30 days of notice
of denial, reduction or termination and educate parents, CPs, and CCR&Rs of this
policy. Impact: several families will not be reviewed and decision will
automatically be upheld.
Implement process to assess reviews upon receipt to expedite particular
cases (i.e. family submitted timely review, i.e. within 30 days, but no
longer receiving child care).
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