Skip to main content

Medical Condition

A parent or caretaker does not have to participate in an approved activity when he or she suffers from a medical condition that prevents him or her from adequately caring for a child.

What medical conditions allow protective and preventive child care?

The medical condition only counts if it prevents a parent or caretaker from providing appropriate care to a child. During the interview, determine whether the medical condition the client is describing prevents a parent or caretaker from giving the child the correct amount of care. If uncertain, allow the client the benefit of the doubt when approving the first 30 calendars days of care.

Case note appropriately. Explain in case notes what medical condition the parent or caretaker suffers and how the parent or caretaker's medical condition prevents him or her from adequately caring for their child. The household's professional's statement answers this question when the household needs more than 30 days of care.

Types of Households

The protective or preventive medical approvals typically involve households made up of two parents or two caretakers. One parent or caretaker meets the protective or preventive need factor; the other parent or caretaker performs another approved activity. If a household has only one caretaker or parent or two parents or caretakers who need protective or preventive child care, there may be a concern about how the parent or caretaker cares for the child or children when they are not in child care.

Unit Type Approved

Approve Child Care on the basis of the household's need. One of the parents or caretakers should perform another acceptable need. Approve Child Care to allow them to meet that need factor.

FACS K16 Coding Options

Code the need factor in the FACS dropdown box K16. Use "prevention of or protection from abuse, neglect and/or exploitation." Video examples for coding the Auth Daycare tab and this block are available through Quest here and here. Quest also provides specific instructions for coding protective or preventive approvals. Click here to access these instructions.

Example 1:

Jenny Ann applies for Child care on 06/04/2018. Jenny Ann and Bob are caring for their 2-year-old grandchild Anderson. Jenny Ann is a self-employed realtor who must accommodate her clients' schedules. Her business is suffering recently. In May, Bob fell and hurt his back. Bob explains he cannot work or watch Anderson. Previously, they could afford child care because Bob was working, but they cannot due to Bob's lost income. Jenny Ann is trying to adjust her schedule, but she is missing out on opportunities. Is a protective or preventive approval appropriate in this situation?

Yes. Jenny Ann meets the employment need requirement. Bob meets the need requirement through the protective or preventive policy. Grant a 30 day approval, and require a professional's statement regarding Bob's medical condition before approving further care.

Example 2:

Paul lives with his parents Cindy and Reggie and his two twin daughters Paulette and Margaret. He applies for Child Care to help pay for child care while he works, but his income exceeds the entry standard. His parents are currently watching the twins while he works. Their doctor, however, reports they cannot physically care for the 3 year old twins. Paul reports he cannot afford to pay for child care. He is already living with his parents and does not know what to do. Should you consider the household for protective or preventive care?

No. You may not approve Child Care for this reason without an approval from Child Care Subsidy staff. The protective or preventive child care claim must come from a required household member. Paulette and Margaret's father is the household, so Cindy and Reggie are not included in the household composition.

You should explore the possibility that Child Care Subsidy may approve protective or preventive child care for those who are financially ineligible and whose debt prevents them from paying for child care. You must verify Paul's debt situation to pursue this option, and if he is already living with his parents due his finances, he might qualify.

Back to Top