Page 611

584

action to verify the payment in ICCIS. See section 4390 Calculating and Verifying Child Care Assistance Program Payments.

4380-4 AMENDED REQUEST FOR PAYMENT When a Request for Payment CC78 has already been submitted to the Child Care Program Office (CCPO) Accounting Staff and the provider identifies additional care or a registration fee should have been requested for a child during that month, an Amended Request for Payment CC79 must be submitted even if the original Request for Payment CC78 has not yet been processed for payment. The Amended Request for Payment CC79 must be submitted on or before the last day of the second (2nd) month immediately following the month in which child care services were provided.

When the payment requested is due to additional care provided but not included on the original submission, the provider’s attendance record for the month for that specific child must be included with the Amended Request for Payment CC79 to ensure duplicate payment for the same days is not made. The CCPO Staff will compare the attendance records to the number of days indicated on the original Request for Payment CC78 and the additional days requested on the Amended Request for Payment CC79. Days on the attendance record should match the combined days from the Request for Payment CC78 and the Amended Request for Payment CC79.

Example: The Request for Payment (CC78) form indicated the child attended 21 FT days. The Amended Request for Payment (CC79) form indicated the child attended an additional 4 full days. The attendance records should show the child attended a total of 25 full days. The authorization document must indicate the child is authorized for a full month (this pays up to 23 days) and 2 additional full days (to pay for the 24th and 25th day).

If the provider does not include the child’s attendance record with the Amended Request for Payment CC79, the CCPO Accounting Staff will contact the provider requesting the attendance record for the child(ren) and issue a Child Care Assistance Provider Request for Payment Returned -Unpaid Notice with a due date using the ten (10) day timeframe based on the Adverse Action Calendar. An Integrated Child Care Information System (ICCIS) case note is entered using subject heading: MMYY Amend Req for Pay Returned Unpaid. The