Child Care Billing Report Form and Certificate Does Not Match 400-28-135-10-10

(Revised 10/1/12 ML #3348)

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IM 5281

IM 5281 Attachment

 

 

NDAC 75-02-01.3-06

 

 

Payment is made based on the Level of Care listed on the certificate and the actual hours listed on the Child Care Billing Report.

• When the hours on the Child Care Billing Report form are higher than the Level of Care on the certificate, payment is made based on the Level of Care on the certificate. If the Level of Care on the certificate is hourly (HR) and the Child Care Billing Report form reflects either full time (FT) or part-time (PT) hours, payment is paid at hourly (HR). If the Level of Care on the certificate is part-time and the Child Care Billing Report form reflects full time (FT), payment is paid at part-time (PT).

 

• When the hours on the Child Care Billing Report form are lower than the Level of Care on the certificate, the actual hours on the Child Care Billing Report form are used for payment. If the Level of Care on a certificate is full time (FT) and the Child Care Billing Report form reflects part-time (PT) or hourly (HR), payment is paid at part-time (PT) or hourly (HR).

Note: When this occurs, the worker will follow the policy and procedures in Section 400-28-125-15, Known Information To Agency.

 

Compare the billed amount to the State Rate on the certificate to determine the lower amount. Take the lowest amount and subtract the Family Monthly Co-pay to determine the amount to be paid by the Child Care Assistance Program (CCAP).

 

If the child's hours in care do not reflect the hours needed for the caretaker’s allowable activities, the eligibility worker must determine actual hours of needed care for the child and enter the number of actual hours into the CCAP payment system. The system will process the payment based on the lower of the hours on the certificate or the actual hours entered.

 

The number of hours entered into the system may be adjusted but the amount billed may not be changed. The CCAP system will compute the correct amount to be paid to the provider.