Issuing a Certificate 400-28-120-30

(Revised 4/1/12 ML #3327)

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NDAC 75-02-01.3-06

 

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)’s EIN or SSN
• Provider type
• Level of Care required
• Caretaker(s) allowable activity/schedule
• Child(ren)’s schedule (school age)

Upon receipt of this information, the Excel spreadsheet may be used to determine the Co-pay and State Rate. When the Excel spreadsheet is used, a copy must be included in the case file.

 

The issuance of a certificate does not require submittal of a Child Care Billing Report form.

 

A certificate is issued:

• At application
• At 6 month review
• When a certificate must be updated

When a certificate is issued, the caretaker is sent a copy of the certificate and the provider(s) is sent a copy of the certificate with the information that applies to the child(ren) for whom the provider(s) has been approved to provide care.