Certificate Requirements 400-28-120-10

(Revised 10/1/16 ML #3477)

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NDAC 75-02-01.3-06

 

Federal regulations require states to issue a ‘certificate’ to the eligible household and to each provider the household has chosen for the children for whom they are providing care.

Certificates are issued for a maximum of a 12 month period and are issued at application or review. The certificate start date begins the first day of the month for which the application or review was approved.

Exception:

When assistance is requested for the month prior to application, a one month certificate is created to cover the prior month.

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 license number
• Provider type
• Approved Allowable Activities
• Level of care for each child

Child Care Request for Payment forms are not required to issue a certificate.

A certificate is issued by the Department of Human Services to the caretaker who is eligible and to each provider the caretaker has chosen. The certificate contains:

• The name and address of the caretaker
• The names of children who will be receiving Child Care Assistance Program benefits
• The name of each provider(s) for each child
• The Level of Care
• The Family’s Monthly Co-pay
• The State Rate
• The caretaker’s allowable activities (work, job search, education, training)

  Note: The names of specific assistance programs are not to be entered or shown on the certificate. For TANF recipients, list "Job Activities" for the allowable activities.

• The period covered by the certificate
• The right to appeal