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In the “For CCA Use Only” section of the Request for Payment CC78 form, the CCPO Accounting Staff shall calculate the payment amount by entering the mathematical calculation which includes:

1. The provider’s rate or the state rate, whichever is less, for the units of care indicated as attended for full month;

2. The provider’s rate or the state rate, whichever is less, for the units of care indicated as attended for partmonth;

3. The provider’s rate or the state rate, whichever is less, for the units of care indicated as attended and payable for a full day or part day in addition to a full month or part month;

4. A deduction of the family’s contribution (co-pay), if any;

5. A deduction or supplemental amount needed due to anincorrect payment;

6. The amount to pay for care authorized based on the child’sactual attendance;

7. Alaska IN! amount to pay based on the percentage authorized and the child’s actual attendance, if applicable;

8. A registration fee, if applicable, and

9. The total amount to be verified.

The amount in the total box is to be entered and verified in ICCIS.

4390-1 PAYMENT CONSIDERATIONS Along with the care authorized for a family, consideration must be given to different circumstances related to the child’s attendance or lack of attendance. 1. Alaska Inclusive Child Care Program (Alaska IN!) Alaska Inclusive Child Care Program (Alaska IN!) Special Needs Supplements, unlike regular child care assistance payments, are not subject to the monthly maximum state payment amount. Providers do not need to include a request for supplemental payment for Alaska IN! when submitting their Request for Payment