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their supervisor, a completed Incorrect Payment Preliminary Review Form CC17, which includes the month(s) the error occurred; the cause of the error; a recalculation of the payment to the provider or if applicable, a recalculation of the family’s benefit, and copies of all supporting documentation. Copies of printed case notes from the Integrated Child Care Information System (ICCIS) are not needed as the supervisor has access for review.

Within two (2) business days, the supervisor will review the submission along with any applicable ICCIS case notes and if in disagreement return it to the worker for corrective action as needed. When in agreement with the IP determination, the supervisor will sign the Incorrect Payment Preliminary Review Form CC17 and submit the form and all supporting documentation via email to dpaccp@alaska.gov using the subject heading “Incorrect Payment” or fax to the CCPO.

A family overpayment is an error that occurred on the family’s case and benefits were paid, on behalf of the family, to the provider. The family is responsible for repayment of the overpayment a benefit was received which they were not entitled to through the additional payment to the provider on the family’s behalf.

Example: The family gave a ten (10) business day notice to their provider, but the authorization was not changed from a full month to a part month as they only needed ten (10) days to this provider. The payment to the provider was verified at the full month amount. The family should have paid their provider any money owed to that provider above the part month, therefore, the family would owe the state the difference between a part month and a full month as the part month amount would have been paid to their provider had the authorization been changed based on the reported change.

1. Underpayment When the IP is an underpayment of any amount, supporting documents relevant to the error, including: a copy of the family’s application applicable for the timeframe the error occurred; income verification used if it was an income error, and a copy of the Request for Payment CC78 if applicable, are to be sent with the Incorrect Payment Preliminary Review Form CC17.

The Designee or CCPO will: a. Document the submission of the Incorrect Payment Preliminary Review Form CC17 in a case note in the family’s or provider’s case in ICCIS using subject heading: CCAP Underpayment. The