Page 275

248 d. Family name and mailingaddress; e. Provider name and mailing address; f. Children for whom child care is authorized, including: age category, and units of care; g. Anticipated eligible cost of care and the family’scontribution (co-pay); h. Maximum amount payable by the State of Alaska Child Care Assistance Program (CCAP); and i. Variable language providing specific additional information pertaining to the unit of careauthorized. 2. Authorization Documents Include StandardLanguage Advising both the Family and Provider that: a. Attendance based care is paid only for the time the child is actually in care and the parent is in an eligibleactivity; b. Registration fee charged by a licensed provider may be paid annually up to $50.00 per child; c. The parent is responsible for any costs a provider charges over the authorized rate in addition to the monthly co-pay; and d. Payment will be made for up to the authorized care not to exceed a full-time monthly enrollment plus a part time monthly enrollment. 4110-3 A. CHILD CARE ASSISTANCE AUTHORIZATION DOCUMENT CREATION FOR PASS II AND PASS III Designees enter the date range for the month(s) care has been authorized and any applicable variable language is selected or added to the Child Care Assistance Authorization document. Designees mail a copy of the authorization document to both the family and child care provider and retain a copy in the family’s case file. Designees must detail the rationale for the allowable care authorized in the appropriate standardized Integrated Child Care Information System (ICCIS) case note for the authorization document issued. Child Care Assistance Authorization documents for In-home care cannot be issued until the family’s In-home caregiver has been determined eligible and a Child Care Assistance In-Home Child Care Application - Approved Notice has been sent. When a family changes their In-home child care caregiver, a Child Care Assistance Provider – Notice of Change is issued to either approve or deny the new In-home child care caregiver.