939 DETERMINING THE NH CHILD CARE SCHOLARSHIP PROVIDER REIMBURSEMENT AMOUNT (FAM)

___________________________________________________________

The Child Care Scholarship provider reimbursement amount is the amount that the Department pays to the provider toward the cost of services for families receiving Child Care Scholarship. To calculate this rate for each child:

1.    Using the NH Child Care Weekly Standard Rate (WSR) chart in PART 937, determine the child’s weekly rate based on the type of provider, the child’s age, and the authorized level of service for the number of hours billed that week.

2.     Compare the child’s WSR with the provider’s weekly charge and identify the lesser amount.

3.     Subtract the child’s cost share (found in New HEIGHTS) from this lesser amount.

Example 1:

The WSR for a Licensed Center for a child 1-17 months, authorized for full-time service level is $344.42 per week. 

The provider charges private pay families $370.00 per week. 

The child’s cost share for Scholarship is $20.00 per week. 

Compare the WSR ($344.42) with the provider’s charge ($370.00) and identify $344.42 as the lesser amount. 

Subtract the cost share of $20.00 from the WSR of $344.42 = $322.42. 

The Provider Reimbursement Amount from DHHS is $322.42 per week. 

The provider shall charge the parent the cost share amount of $20.00 and may choose whether or not to charge the family the copayment amount of $25.58. 

Example 2:

The WSR for a License-Exempt Center for a child over 79 months, authorized for half-time service level is $91.45 per week. 

The provider charges private pay families $80.00 per week. 

The child’s cost share for Scholarship is $20.00 per week. 

Compare the WSR ($91.45) with the provider’s charge ($80.00) and identify $80.00 as the lesser amount. 

Subtract the cost share of $20.00 from the provider’s charge of $80.00 = $60.00. 

The Provider Reimbursement Amount from DHHS is $60.00 per week. 

The provider shall charge the parent the cost share amount of $20.00. The copayment amount is $0.00. 

Example 3:

The WSR for a License-Exempt Family Home for a child age 42 months, authorized for half-time service level is $135.49 per week. 

The provider charges private pay families $150.00 per week. 

The child’s cost share for Scholarship is $140.00 per week. 

Compare the WSR ($135.49) with the provider’s charge ($150.00) and identify $135.49as the lesser amount. 

Subtract the cost share of $140.00 from the WSR of $135.49, which results in a negative amount. 

No DHHS payment shall be made because the cost share is greater than the lesser amount. The Provider Reimbursement Amount from DHHS is $0.00 per week. 

The provider shall charge the parent the cost share amount of $140.00 per week and may choose whether or not to charge the family the copayment amount of $10.00 per week.

A change in payment will automatically become effective on the Monday following the date that the action was updated in New HEIGHTS when one of the changes below has been authorized:

·          Authorized level of service;

·          Child’s age;

·          Cost share; or

·          Differential payment for a child experiencing a significant special need.

References: He-C 6910.17(e), (h) and (i), RSA 161:2,XII, RSA 167:83,II, 45 CFR 98.42