Page 528

501

The Designee will forward the State of Alaska Substitute Form W-9 via fax to the CCPO Accounting at ccpo@alaska.gov using the subject line “Business Type Change for (provider name/ICCIS number)”. The CCPO Accounting Staff will within two (2) business days of receiving the State of Alaska Substitute Form W-9:

1. Compare the State of Alaska Substitute Form W-9 to thefacility name and EIN entered in ICCIS;

2. Access the provider’s information inIRIS; a. If the name and EIN in IRIS matches the State of Alaska Substitute Form W-9 it is filed in the provider’s billing file and no further action is needed; or b. If the name and or EIN in IRIS does not match the State of Alaska Substitute Form W-9, the form is emailed to DOF to update IRIS;

3. Email DPA Systems Support at: hss.dpa.systems.support@alaska.gov requesting the provider’s Vendor ID be updated in ICCIS if DOF has assigned a new VCN; and

4. Notify the Designee upon completion of the change in ICCIS.

4300-1 K. LICENSED PROVIDER OWNERSHIP CHANGE Changes reported in the ownership of a Licensed child care require a new facility to be created in ICCIS, even if the facility name does not change. In addition to the application and documentation required by licensing, a Licensed Provider Child Care Assistance Application CC41is required if the new owner wishes to participate in the CCAP. If the provider was also participating in the CCG, a new Child Care Grant Application CC30 would need to be submitted.

When a Licensed provider is participating in the CCAP their Licensing Specialist must notify the assigned CCAP Staff of the change by sending an email to: dpaccp@alaska.gov using subject line “ICCIS Facility Ownership Change.” The CCPO Eligibility and Benefits Staff will forward the notification to the assigned Designee and CCPO CCG Staff.

The Designee will issue a Child Care Assistance Provider – Information Needed notice advising the new owner of the requirement to submit a