Issuing a Certificate 400-28-120-30

(Revised 10/1/11 ML #3278)

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NDAC 75-02-01.3-06

 

The following information is required to issue a certificate:

• Household composition
• Household income
• Child/spousal support paid out
• The child care provider(s) for each child requesting assistance
• The provider(s)’s EIN/SSN
• Provider type
• Level of Care required
• Caretaker(s) allowable activity/schedule
• Child(ren)’s schedule (school age)

Upon receipt of this information, the Excel spreadsheet may be used to determine the Co-pay and State Rate. When the Excel spreadsheet is used, a copy must be included in the case file.

 

The issuance of a certificate does not require submittal of a Child Care Billing Report form.

 

A certificate is issued:

• At application
• At 6 month review

The caretaker is sent two copies of the certificate, one labeled ‘caretaker’s copy’ and one ‘provider’s copy’. The caretaker is responsible for giving the provider a copy of the certificate.