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Request for Payment CC78 or Amended Request for Payment CC79 the blank labeled AK IN+.

• Registration Fee When requested, the licensed provider’s registration fee, not to exceed $50 per child, is payable. The lesser of the provider’s registration fee or $50 is entered on the Request for Payment CC78 or Amended Request for Payment CC79 the blank labeled Reg. Fee +.

d. Twenty-four (24) or More Days Attended When a Child Care Assistance Authorization document is issued for a full month plus additional full or part days, the payment is calculated at the full month rate for days one (1) to twenty- three (23). As many of the full days attended as possible are to be included in the full month, days one (1) to twenty-three (23). Payment for full days and part days attended beyond the twenty-third (23rd) day shall be calculated the either the full day or part day rate based on the type of day attended. The full month amount, lesser of the state rate and the provider’s rate is entered on the Request for Payment CC78 or Amended Request for Payment CC79 in the blank labeled FT Month Unit+.

The additional days are calculated for payment at the authorized full or part day rate beyond the twenty-third (23rd) day. The full or part day amount, lesser of the state rate or the provider’s rate, is entered on the Request for Payment CC78 or Amended Request for Payment CC79 in the applicable blank labeled FT Day Unit +or the PT Day Unit +.

• Notice Days – Ending Care/Changing Providers When a child does not attend the provider and the provider includes between one (1) and ten (10) days in the “N” box of the Request for Payment CC78 indicating the child did not attend during some or all of the required ten (10) business day notice period, additional payment is not processed. Payment for the “N” days is included in the full month calculation.

The payment verifier will enter a case note on the family’s case the number of notice days paid, the service month they were paid for and the provider’s name and ICCIS number and for PASS II and PASS III families, set an alert in the