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Child Care Provider Registration Agreement Page 2 20. Expulsion – when a child care provider removes or excludes a child from a child care program. 21. Gratuity – a payment loan, subscription, advance, deposit of money, services, or anything of more than nominal value, present or promised that is given voluntarily or beyond one’s obligation for payment. 22. Group Size – a specific number of children, distinct from the larger population of children, who are together regularly and interact with each other, and with one or more specific staff members in an assigned space. 23. Investigation - the process that includes fact finding, interviews, interrogations, evidence collection and preservation and various methods of examination. 24. Legal Signature – the person’s unique mark or name handwritten by that person for purposes of authentication of a document. 25. Parent - the natural or adoptive parent of a child or a person responsible for the care, custody, and control of a child. 26. Primary Caregiver- one caregiver assigned to a small group of children for the majority of the child’s care throughout the day. 27. Provider - any person or entity that has an Agreement with the Department. 28. Public School - a state-funded elementary or secondary school providing education free for children in kindergarten through the twelfth grade. 29. Reimbursement Rate - the payment levels and amounts specified in the Child Care Provider Rate Agreement. The Reimbursement Rate minus the daily Co-Payment amount is the amount that ADES will pay you. Maximum Reimbursement Rates are prescribed by Appendix B to A.A.C. Title 6, Chapter 5, and Article 49. 30. Serious Injury - a serious injury or accident resulting in medical treatment (outside the facility), hospitalization or death of a child. 31. Service Month - the month in which the child care service was provided. 32. Special Needs –means a child with a disability or special health care needs who needs appropriate, individualized accommodations and supports to access, and participate in, the routines and activities with his/her peers. The child may need increased supervision and/or adaptive equipment. 33. State - the State of Arizona and the Department. 34. Units of Care - represented by a “D” (Full Day of Care is 6 hours or more) or an “L” (Part Day of Care is Less than 6 hours but more than 15 minutes) on the AZCCATS Billing Document, Certificate of Authorization form, and the Verbal Notice of Eligibility form. 35. Verbal Notice of Eligibility - an oral notification from a Child Care Specialist to you of the effective date of eligibility and the level of service approved by the Department for an ADES-eligible family. 36. You/Your - the person or entity entering into this agreement as a provider and the person signing on behalf of a provider. 2.0 PRE-CONTRACT REQUIREMENTS 2.1 EMPOWER PROGRAM PARTICIPATION Register for the Empower Program which is accessible on the ADHS website: http://azdhs.gov/prevention/nutrition-physical-activity/empower/index.php. CCA-1210B (4-16) – Arizona Department of Economic Security