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new Licensed Provider Child Care Assistance Application CC41, State of Alaska Substitute Form W-9, and Child Care Provider Rates and Responsibilities CC12 form to participate in the CCAP. A new Child Care License must be issued and approval for CCAP participation granted prior to Child Care Assistance Authorization documents being issued to the new facility.

The facility may continue to participate during the transition process as long as the current licensed ownership is maintained until the new owner receives their Child Care License and CCAPapproval.

Upon issuance of the license to the new facility and CCAP approval, Child Care Assistance Authorization documents issued beginning with the effective date of the new facility’s CCAP approval are canceled with the former facility and reissued to the new facility.

The Designee based on the office with the CCAP approval responsibility for the provider must take the following actions in ICCIS:

1. Print the Payment Options screen for the month the ownership change will beeffective;

2. Print all existing Child Care Assistance Authorization documents issued to the provider for the month the ownership change becomes effective and all futuremonths;

3. Cancel all existing Child Care Assistance Authorization documents issued to the provider for the month the ownership change is effective and future months, mark them cancelled or void andfile them in the family’s file; 4. Reissue all canceled Child Care Assistance Authorization documents at the same units of care previously authorized and variable language including the document number the new authorization replaces;

5. Mail canceled and reissued Child Care Assistance Authorization documents to each family with a Child Care Assistance - Notice of Change and to the child care provider with a Child Care Assistance Provider - Notice of Change, and

6. Enter a case note in the provider’s case in ICCIS documenting the change processed, effective date of the change, the authorizations have been canceled, reissued and mailed to families and providers.