943 PAYMENT FOR NONCONTRACT PROVIDER SERVICES SR 96-27, 07/96 (FAM-A)

Payment for child care services provided by noncontract providers is made as a reimbursement either to the individual (Parent Payment method) or, at the option of the individual, directly to the provider (Provider Payment method). Individuals using noncontract providers and receiving reimbursement under the Parent payment method are responsible for paying the provider for all services received. The Department incurs no financial liability to noncontract providers for any amounts not reimbursed directly to the provider by the Department.

The Department reimburses the individual or provider for the actual amount of expenses incurred or the maximum allowable payment, whichever is lower. Individuals are responsible for paying the provider for costs which exceed the amount of the Department’s payment.

Before the Department issues a payment for noncontract child care services, all of the following criteria must be met:

• The individual has applied and been determined eligible for child care services.

• The child care service has already been provided.

• The provider has been enrolled if the Provider Payment method has been selected.

• The provider has been registered.

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

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

• The individual 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

Bureau of Data Management

P.O. Box 2000

Concord, NH 03301-2000

• The individual or provider must correct and resubmit any incorrect, incomplete, or illegible invoices that are returned by the Bureau of Data Management.

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

• If a child receives child care services from both a contract agency and a noncontract provider, the invoice must be only for the costs of the noncontract provider.

• Invoices must not be submitted for fees charged to the individual by a contract agency.

• TANF 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.