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copy the documentation into a CMS client note 2. Respond to the Designee the request can be processed.

When it is approved to authorize payment at the provider’s rate, the Designee must document in the variable section of the Child Care Assistance Authorization document as “Payment to be made at the provider’s own rate, for the specific child’s name and month.”

When payment at the provider’s rate is approved, the PAA II will monitor the family for each of the month(s) up to six (6) approved for payment at the provider’s rate. Once care is authorized for the family the PAA II will access the ICCIS Payment Option screen for the provider and for each child of the family: 1. Enter the date the approval was granted in the“Received Date”; 2. Enter the difference in the “Amount to Pay” andthe provider’s rate in the Supplemental field; 3. Select the Supplemental reason of “PASS I ONLY,PRVD RATE EXCEPTION; 4. Enter 1 in the attendance box; 5. Save the entry.

The CCPO payment verifier will process the supplemental with the provider’s Request for Payment CC78 for that month. The payment verifier will attach a copy of the ICCIS case note granting approval to the Request for Payment CC78 when payment for the service month is verified.

b. Specials Needs: The Special Needs box is checked in ICCIS by the Child Care Program Office (CCPO) only after they issue the Authorization for Special Needs Supplement CC51.

Upon receipt of an Authorization for Special Needs Supplement CC51, WSP are to include the supplemental percentage authorized in the comments section of the Request for PASS I Child Care CC1 form or Manual Authorization Request Form – PASS I CC02 for future care needed. See section 4140-2 Alaska Inclusive Child Care Program Issuance and Timeframes.

c. Multiple Authorizations: Multiple authorizations can be issued if a family uses more than one (1) provider in a month or during the family’s