943 PAYMENT FOR NH CHILD CARE SCHOLARSHIP PROVIDER SERVICES AND PROVIDER CO-PAY SR 09-17, 06/09 (FAM-A)

Payment for child care services *is made as a reimbursement directly to the provider (Provider Payment method). The Department incurs no financial liability *for any amounts beyond the amount of the Department’s payment.

The Department reimburses the provider for the actual amount of expenses incurred, as charged by the provider to private rate families, or the NH Child Care Standard Rate, whichever is lower, minus the family cost share. Families are responsible for paying the provider for costs which exceed the amount of the Department’s payment, if the provider chooses to charge the family this extra amount. This extra amount that the provider may or may not choose to charge families is called the provider co-pay.

Before the Department issues a payment for *provider services, all of the following criteria must be met:

• The family has applied and been determined eligible for NH Child Care Scholarship.

• The child care service has already been provided.

• The provider has been registered and enrolled for payment. To enroll a provider, the Data Management Unit (DMU) requires:

- A completed Form 251, Provider Enrollment and Registration Form, for each *provider that is not currently enrolled and registered; and.

- A completed Form AW-9, Alternate W-9 Form CIS, for each *provider who is not currently enrolled for payment.

• The family has submitted a completed Form 253, Child Care Provider Verification Form, for each provider.

• The family and provider have completed and signed Form 250, Child Care Payment Request Invoice, for each child.

• The family or provider has, no later than 90 days following the last date of service listed on the invoice, submitted Form 250 to the following address:

New Hampshire Department of Health and Human Services

Data Management Unit

P.O. Box 2000

Concord, NH 03302-2000.

• The provider must correct and resubmit any incorrect, incomplete, or illegible invoices that are returned by the DMU.

• The invoice must not include any additional fees or costs for nonchild care services.

*

• Invoices must not be submitted for fees charged to the individual by *the provider.

• FANF financial assistance recipients may include costs for days the child was absent, not to exceed 10 days in any six-month period. See PART 947, PAYMENT FOR ABSENTEE DAYS.

Exceptions:

• Provider non-payment for 90 days will result in an automatic termination of the NH Child Care Scholarship for the family for that provider only. If the family’s child is only linked to this provider for their NH Child Care Scholarship, then the scholarship will terminate at the end of the 10-day ANP.

• Families who are income-eligible for NH Child Care Scholarship at Step 6 or 7 can only receive a NH Child Care Scholarship if their child or children receive services from a Licensed Child Care Center or Licensed Family Child Care provider. If the family’s child or children receive child care services from a License-Exempt Family or License-Exempt Center provider, the NH Child Care Scholarship will either terminate or deny, and the provider will not be paid for their services. The family will be responsible for any costs incurred.

• A child under the age of 79 months cannot receive NH Child Care Scholarship if the child receive child care services in a License-Exempt Center. Any costs incurred by a License-Exempt Center provider for services provided to a child under 79 months will not be paid by the Department. The family will be responsible for any costs incurred.