Receives Subsidized Care [Setting]
This setting controls whether a participant is designated as receiving benefits under Title XX of the Social Security Act (for child care) or Title XIX/XX (for adult day care participants).
- If subsidized care is added, the participant will be designated as receiving subsidized care.
- If subsidized care is not added, the participant will not be designated as receiving subsidized care.
For-Profit child care and adult care programs need to have a qualifying percentage of at least 25% in order to be eligible to file a claim.
- During claims processing, the system will check the Profit Status of every child care center and adult care program. If the Profit Status is for-profit, the system calculates the qualifying percentage using the four methods below.
- If at least one method is 25% or greater, then the system proceeds with creating a claim.
- If none of the four methods generates a qualifying percentage that is 25% or greater, then all meals will be disallowed with reason Claiming Percentage Below 25 Percent.
| Method | Calculation |
|---|---|
| Income eligibility based on participant count | (Free + Reduced-Price Participants) ÷ Total Participants* |
| Income eligibility based on capacity | (Free + Reduced-Price Participants) ÷ Licensed Capacity |
| Subsidy eligibility based on participant count | Subsidized Participants ÷ Total Participants* |
| Subsidy eligibility based on capacity | Subsidized Participants ÷ Licensed Capacity |
*Total Number of Participants comes from the Participant Claim Roster
To use this setting:
- Click on Participants & Rosters from the main site dashboard.
- Click on the hyperlink name of the participant you would like to edit.
- Scroll down to the section labeled Receives Subsidized Care.
- Click the yellow +Add Subsidized Care button on the right-hand side.
- Enter the Start Date (required).
- Enter the End Date (optional).
- Upload Form (optional): store files in the participant’s profile that documents their eligibility for subsidized care.
- Click the green Save button and you return to the participant page.
