 Hot Tip of the Month: Parent Fees
All CCCAP cases with an active authorization must have a parent fee set. This includes cases in which the parent fee is waived or there is a $0 parent fee for no countable income. In these types of cases, a $0 parent fee shall be assessed and allocated in CHATS, and an override may be required. QRG - Parent Fees in the LMS has been updated to include this guidance.
Hot Ticket of the Month
Hot Tickets are edited for clarity and the removal of PII.
Question: Client submitted her redetermination and is claiming that her employment income is not countable due to the funding source. Per the employer letter, she is paid as a CNA to care for her child, through Colorado Medicaid programs. These payments are defined as 'Difficulty of Care Payments' and fall under IRS Notice 2014-7. We are seeing this as employment income—taxes are withheld—and also as 1099 income categorized under 'Difficulty of Care Payments.'
I do not see these payments listed as income exclusions in rule. Therefore, we consider this income to be countable. Additionally, she is also paid as a 'Parent Provider for the CES Medicaid Waiver' under Difficulty of Care Payments and is considered 1099 with this agency. Again, I do not see anything in rule that supports excluding this income. I am submitting this ticket to confirm that all three income sources are countable.
Response: Thank you for your support ticket.The income sources you have referenced are considered countable income. More specifically, when an adult caretaker is directly receiving Difficulty of Care payments the income is countable. Please ensure detailed case comments are entered for all case actions and outcomes.
Program Announcements
Program Services
CCCAP Provider Data
 Qualified Exempt Provider Data: 122 Families Served, 249 Children Served, 117 Total Qualified Exempt Providers, 15 Qualified Exempt Providers providing child care to non-relative children.
 CCCAP Licensed Provider Data: 5303 Open Fiscal Agreements, 2539 unique providers (Statewide providers 4458), Provider Types: day care center, preschool, school age child care facility, large day care home provider, experienced day care home provider, day care home provider, Equal Access: 49.8% of QRIS eligible providers, Equal Access: 66.7% of SACC providers, High Quality Care: Quality Level Percentages, Level 1: 386 (22%), Level 2: 513 (29.5%), Level 3: 120 (7%), Level 4: 589 (34%), Level 5: 131 (7.5%)
10/1/2025 State-Established Rate Project
County Rate Plan Project Updates: Phase III
Deloitte created new 10/1/2025 County Rate Plans for each county and batch-approved them on the evening of 7/31/2025. Between now and 9/30/2025, counties will need to create new 10/1/2025 rate schedules for all providers. Because CHATS will automatically enter the existing private pay rates, the steps for creating the new rate schedule are simplified. A step-by-step guide is available here: 10/1/2025 Rate Project
The Program Services team will host a series of Support Sessions for drop-in office hours throughout August and September. The sessions are open for questions, and the State team will provide technical assistance related to the 10/1/2025 rate schedule process. Please drop in as many times as needed. Meeting information is as follows:
Sessions can be joined via Google Meet:
Meeting link: meet.google.com/ehu-kjkg-cew
Phone (US) +1 910-779-3705 PIN: 762 068 191#
- Wednesday, August 6 · 11:00am – 12:00pm
- Wednesday, August 13 · 11:00am – 12:00pm
- Wednesday, August 20 · 11:00am – 12:00pm
- Wednesday, August 27 · 1:00 – 2:00pm
- Wednesday, September 3 · 11:00am – 12:00pm
- Monday, September 8 · 10:00 – 11:00am
- Wednesday, September 10 · 11:00am – 12:00pm
- Monday, September 15 · 10:00 – 11:00am
- Wednesday, September 17 · 11:00am – 12:00pm
- Monday, September 22 · 10:00 – 11:00am
- Wednesday, September 24 · 1:00 – 2:00pm
- Monday, September 29 · 10:00 – 11:00am
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