g. Enrollment of the Provider

To be eligible for payment, the child care provider shall enroll in the CCAP program as the child’s provider. To enroll, the provider shall complete the following actions: submit a completed child care agreement using a form prescribed by the department that provides details of the child care arrangements, including but not limited to information about the provider’s licensing and accreditation status, the relationship of the provider to the child, the location where care is given, the days and hours of care and the actual charges for the care provided; certify that the child care provider and the facility meet the licensing and health and safety standards outlined in this section; provide any additional documentation required by the CCAP administrator, including but not limited to verification of identity; agree to report changes in the child care arrangements or licensing and accreditation status by the date the first invoice is submitted following the date of the change, whichever is earlier; and submit a completed W-9 form or other documentation of tax identification number as specified by the department.

The parent shall be required to co-sign the child care agreement form. The parent’s signature confirms the child care arrangements and serves as a release to allow the department to share information with the provider or as necessary for the administration of the CCAP program in accordance with the requirements of subsection (d) of section 17b-749-02 of the Regulations of Connecticut State Agencies.