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Child Care Assistance Program Policy Manual Issued 07/2023 Effect of appeal decisions 15.18 If a Human Services Judge reverses an action to disqualify a provider or close or deny a provider’s registration, and the provider’s registration is closed, the provider must complete a new registration to receive CCAP again. Assuming all registration requirements are met, the new registration may be retroactive. Depending on the provider’s specific circumstances, registration may not go back to the original closure date. See information in Chapter 11.12 (Provider Registration) about the registration begin date. To determine whether to make payments for retroactive service dates while the appeal was pending, standard eligibility, authorization, and payment policies for families apply. See: • Chapter 4.18 (Date of Eligibility) for retroactive eligibility limits. • Chapter 9.1 (Child Care Authorization) for information about the earliest date care can be paid if a provider provided care without receiving a Service Authorization and billing form. • Chapter 9.3 (Payments to Providers) for information about billing timelines. Human Services Judge affirms an action, and the provider is not continuing to receive benefits pending appeal Typically, no action is needed if provider loses its appeal, and the provider was not continuing to receive benefits pending appeal. NOTE: If a Human Services Judge affirms a provider’s fraud disqualification, and the provider’s registration is already inactive, contact your Policy Specialist to have the disqualification entered into MEC². See Chapter 13.9.6 (Entering Disqualification Periods in MEC² - Providers). Human Services Judge affirms an action, and the provider chose to continue receiving payments pending appeal If a provider chose to continue receiving benefits pending appeal, and it loses its appeal: • Close the provider’s registration as soon as possible after the appeal decision is received to reduce any possible overpayment; AND • Calculate and assess any overpayment(s) for periods of time when the provider was ineligible or overpaid. See Chapter 14.6 (Amount of Overpayment). See Chapter 15.15 (Continuation of benefits) for information about when a provider could choose to continue receiving payments pending appeal. Administrative reviews and payment stops An administrative review is a process that allows a provider whose child care assistance payments are temporarily suspended to submit written proof and argument for consideration by the Minnesota Department of Human Services. See Chapter 15.6 (Family and provider appeal rights). If DHS determines during the administrative review process that there is insufficient evidence to continue an action and that a payment stop can be lifted: • Payments may be made for services provided before the payment stop took effect, if the provider bills timely and accurately. • The provider must complete a new registration to receive CCAP again. See Chapter 11.12 (Provider Registration). Registration does not guarantee a child’s authorization or payment. Assuming all other registration requirements are met, the new registration may go back to the later of: • The date the registration closed previously