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Providers should include their rate for all age group rate sections of the form, in the event they decide to provide care for children in an any age group in the future. If a provider does not report their rate on this form for an age group, they will be required to complete and submit a new Child Care Provider Rates and Responsibilities CC12 form at the time the child is enrolled and changes will be effective going forward, which will be the first (1st) of the following month. This effective date may be after the date in which the child started attending the facility and there will be a gap in CCAP benefits.

Example: A provider indicated on their current Child Care Provider Rates and Responsibilities CC12 form that they do not provide care for infants, by entering N/A or $0 under that age group of the form. On May 5 the provider enrolls an infant. Care will not be authorized by the CCAP until the provider completes and submits a new Child Care Provider Rates and Responsibilities CC12 form to the designee to include their rate for infants. If that provider submits this rate change information to the Designee anytime between May 2 and May 31, the rate change cannot become effective until June 1, which means the infant will be issued a CCAP authorization effective June 1 and the month of May will not be covered by the CCAP. The family would be responsible to pay the cost of care for the month of May.

If the Provider Rates and Responsibilities CC12 form is incomplete and/or the provider does not submit both the copy of the written notice to families and a new Child Care Provider Rates and Responsibilities CC12 form to the Designee, a Child Care Assistance Provider – Information Needed notice is sent to the provider requesting the missing information.

If the provider submits the requested information by the due date in the notice the rate increase will be effective the date the provider identified in the notice to families, which must be the 1st day of a future month, as long as the families were given at least thirty (30) calendar days’ notice prior to the effective date of rate increase, and the report of change was provided to the Designee timely. If the families were given less than thirty (30) calendar days’ notice, the provider is to be notified by phone that the effective date of rate increase will be the first (1st) of the month following the thirty (30) days’ notice. This contact is documented in an ICCIS case note

If the provider does not submit the requested information by the due date in the Child Care Assistance Provider – Information Needed Notice the provider is to be mailed a Child Care Assistance Provider - Notice of Change explaining their rates will not be increased as requested because they did not submit the required information as requested.