| Label | Type | Description | Mandatory |
| Updated On | CURAM_DATETIME | The date on which the last update was made to the evidence. | No |
| Effective Date of Change | CURAM_DATE | Date which the evidence becomes effective | No |
| Approval Requested | CURAM_INDICATOR | Approval Requested | No |
| Amount | CURAM_AMOUNT | Dependent care payment amount. | No |
| Frequency | FREQUENCY_CODE_STATIC | Frequency indicating how often the amount is paid from the drop-down list of frequencies, e.g., "bi-weekly" or "monthly". Your system administrator can add a new payment frequency via the Code Tables page (see "Code Tables" in the Cúram Administration Guide). | No |
| Start Date | CURAM_DATE | Start date of the period during which the household member is involved in a dependent care expense. | No |
| End Date | CURAM_DATE | End date of the period during which the household member is involved in a dependent care expense. | No |
| Reason | EVD_DEPENDENT_CARE_REASON | Reason for the dependent care from the drop-down list of reasons, e.g., "Accept/Continue Employment" or "Seek/Attend School/Training". The following is a list of allowable reasons for a household member to claim dependent care expenses as a deduction: "Accept/Continue Employment" or "Seek/Attend School/Training". Your system administrator can add a new reason via the Code Tables page (see "Code Tables" in the Cúram Administration Guide). | No |
| Last Payment Date | CURAM_DATE | Last date on which the dependent care expenses are paid. | No |
| Reimbursed Amount | CURAM_AMOUNT | Amount reimbursed to the household member for the dependent care expense. The system subtracts this amount from the dependent care expense amount to determine the actual dependent care expense value. | No |
| Reimbursement Type | EVD_EXPENSE_REIMBURSEMENT_TYPE | Reimbursement type for dependent care expenses that are reimbursed from the drop-down list of reimbursement types, e.g., "federal assistance program", "insurance company", "state assistance program". Your system administrator can add a new reimbursement type via the Code Tables page (see "Code Tables" in the Cúram Administration Guide). | No |
| Total Hours Per Week | EVD_HOURS | Total number of hours per week that the dependent is in care. | No |
|
| Updated By |
| Label | Type | Description | Mandatory |
| Updated By | USER_NAME | | No |
|
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|
| Dependent Care Expense Details |
| Label | Type | Description | Mandatory |
| Household Member | FULL_NAME | Household member to whom the dependent care expense evidence applies from the drop-down list of household members. Note that the system displays the primary alternative ID of each of the members displayed on the drop-down list. In the US, the primary alternative ID is the social security number (SSN). | No |
| Care Recipient Name | FULL_NAME | Name of the care recipient from the drop-down list of care recipients. In the US, the primary alternative ID is the social security number (SSN). | No |
| Care Provider | FULL_NAME | You can select the care provider from the organization's registered participants. To select the care provider from the organization's registered participants, press the Search button to open the Search pop-up window. On the Search pop-up window, enter some or all of the participant search criteria and press the Search button to search for participants with matching details. Click the Select link on the appropriate row from the list of participants displayed to select the care provider. The system automatically creates an additional case participant role of "Care Provider". | No |
|
| Comments |
| Label | Type | Description | Mandatory |
| Comments | COMMENTS | | No |
|
