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body of the case note lists the children whose attendance records are needed and applicable due date.

If the provider does not submit the requested information by the day following the due date, the Amended Request for Payment CC79 is denied with a Child Care Assistance Provider Request for Payment Denied Notice. An ICCIS case note is entered using the subject heading: MMYY Amended Request for Payment Denied. The body of the case note includes information explaining why the Request for Payment CC78 is denied and options available, if any, for resubmission.

When a Licensed provider submits an Amended Request for Payment CC79 form requesting a registration fee only for a child, the child’s attendance records are not required.

If a child was not previously included in the provider’s submission of a Request For Payment CC78, or who was included and did not have a Child Care Assistance Authorization document issued at that time, the provider is to submit the additional child(ren) using a Request for Payment CC78 and not an Amended Request for Payment CC79.

4380-5 SUPPLEMENTAL PAYMENT REQUEST A Supplemental Payment Request CC06 form is not needed if payment has not already been made for the service month needing additional care authorized. The existing Child Care Assistance Authorization document is to be canceled, additional care authorized, and the Child Care Assistance Authorization document recreated for all the months previously included on the document.

A supplemental is needed when:

1. A change has been reported timely and some or all of the required ten (10) day change notification period is in a month in which payment has already beenmade.

2. The Child Care Program Office (CCPO) determined an incorrect payment occurred resulting in an underpayment. See section 4380-6 Incorrect Payment Adjustments.

When a payment has been made to a provider for a service month and a family reports a change warranting additional child care to be covered for the paid service month, or when the family is