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2. Authorization Documents Include Standard Language Advising both the Family and Child Care Provider that: a. Attendance based care is paid only for the time the child is actually in care and the foster parent is in an eligible activity; b. Registration fee charged by a licensed child care provider may be paid annually up to $50.00 per child; c. The foster parent is responsible for any costs a child care provider charges over the authorized rate; 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.

3. Free Form Space for Variable Language The Child Care Assistance Authorization document also includes free form space for variable language to be entered, only as necessary, to provide additional information for child care providers about the care authorized.

Variable language to be added is limited and must not include any specific foster parent information including a foster parent’s: eligible activity; place of employment; income; hours engaged in their activity; or the name of a child’s school; or hours the child will be in attendance.

a. Canceled and Reissued: When authorizations are canceled and re-issued, the following should be typed into the free form space: “REVISED. REPLACES CHILD CARE ASSISTANCE AUTHORIZATION DOCUMENT # (enter the number).

The variable section is also used to identify if the authorization is for the Primary child care provider or Secondary child care provider. “PRIMARY PROVIDER” or “SECONDARY PROVIDER” is to be typed into this section if the family is using more than one child care provider.

b. Child Care Provider Changed: When authorized care is being canceled in the current month due to a child care provider change, the following statement is to be typed in the variable section of the Child Care Assistance Authorization document when it is re- issued to the child care provider who will no longer be caring for the child(ren), “REVISED. REPLACES CHILD CARE ASSISTANCE AUTHORIZATION DOCUMENT # (enter the number). Care is authorized through the 10- day notice timeframe of (Date - Date). Payment will be made for the days in the notice timeframe even if the child did not attend.”

If a secondary child care provider is used to cover the primary child care provider’s closure dates, care is to be requested up to the state maximum to cover this timeframe.