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Notice to the provider for each submission that has not been corrected and resubmitted by the due date.

3. Denying a Request for Payment CC78 When the Request for Payment CC78 received cannot be processed for payment in full or in part, the Child Care Provider Request for Payment – Denied Notice is issued. The action is documented in an ICCIS case note including the reason for the denial.

When a child is included on the Request for Payment CC78 and a Child Care Assistance Authorization document has not been issued, payment will be processed for the children included on the Request for Payment CC78 without discrepancies.

When a Request for Payment CC78 is paid in part, the Child Care Provider Request for Payment – Denied Notice is issued to explain which children were not paid. The action is documented in an ICCIS case note including the reason for the denial.

4. Adjusting a Request for Payment CC78 Due to an Incorrect Payment Determination When the payment amount to a provider is increased or decreased due to an established Incorrect Payment to correct an underpayment, the Child Care Provider Request for Payment - Incorrect Payment Adjustment Notice is issued. The action is documented in an ICCIS case note including the reason for the denial.

4380-3 A. INFORMATION ON THE REQUEST FORPAYMENT SUBMISSION The CCPO must ensure the provider has included their facility name, the month care was provided, the name of the child requesting payment for, and the required signature(s) on the Request for Payment CC78 form. When the CCPO makes corrections or includes missing information based on their review of ICCIS or contact with the provider, they are to document the changes made in an ICCIS case note using the subject heading: MM/YYYY CCA-Request for Pay corrections made. The body of the case note is to include the specific corrections made on the submission by the CCPO and how the corrections were verified (by collateral contact, ICCIS review).