Verification of Child Care Costs 400-28-130

 

Child Care Billing Report 400-28-130-05

(Revised 8/1/13 ML #3374)

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IM 5281

IM 5281 Attachment

 

 

NDAC 75-02-01.3-06

 

Child care costs incurred for a calendar month must be verified by using and completing the SFN 616, Child Care Billing Report form for child care costs incurred in a calendar month. It is the responsibility of the child care provider and the caretaker to complete the Child Care Billing Report form each month.

• The child care provider must list the ACTUAL number of hours the child was in their care.
• The caretaker must list the ACTUAL number of hours the child needed care while the caretaker participated in their approved allowable activity (including travel time).

 

Both the caretaker and the provider are required to sign and date the billing report form AFTER the form has been completed.

 

It is the caretaker’s responsibility to make sure the form is complete, to review the form for errors and for providing all the information needed in order for the payment to be made. If the form is not complete, the form should be returned to the caretaker for completion.

 

The caretaker may choose to let the provider submit the billing report form to the county social service office, however, it is the caretaker’s responsibility to make sure a completed billing report form is submitted to the county social service office.

 

If a provider or a caretaker is not available to complete, or date the Child Care Billing report form, the eligibility worker will be expected to explore all avenues of locating the person who needs to complete, sign, or date the form. If it reasonable that the information needED to be completed can be established by the other party or a third party will attest to its accuracy, payment can be made without one parties completion, signature or date. If it is reasonable that the billing report form is complete and accurate and the person who need to sign or date the Child Care Billing Report form cannot be located or a third party will attest to its accuracy, payment can be made without the signature or date. All actions taken must be documented.

 

If a provider or caretaker refuses to complete, sign, or date, their portion of the Child Care Billing Report form, sign and date the Child Care Billing Report form or the provider or caretaker refuses to sign and date the Child Care Billing Report form and the other party can provide reasonable proof their information listed on the Child Care Billing Report form is accurate or a third party will attest to its accuracy, payment can be made without their completion, signature, or date. All actions taken must be documented.