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REV. AUGUST 20, 2007 NEBRASKA DEPARTMENT OF CCS PROGRAM MANUAL LETTER # 69-2007 HEALTH AND HUMAN SERVICES 392 NAC 4-003.01
Except for foster children and children receiving guardianship or adoption subsidy, the provider is not allowed to charge the parent or caretaker the difference between the Department’s reimbursement and the provider’s private pay rate. A foster parent or subsidized adoptive parent or guardian may make arrangements with a provider to supplement the Department reimbursement.
If the rate the provider charges the public is higher than the Department's, the Department will pay the established maximum. If the provider's rate for the public is lower than the Department's maximums, the agreement rate must not be higher than the provider charges the public. {Effective 4/2/05} 4-003.01A Payment By Attendance: The Department pays by attendance, not enrollment. Payment is not made for time when the child is not receiving care; this includes when the provider is on vacation, is ill, or is not providing care for some other reason. 4-003.01A1 Exception When the Child Quits Without Notice: The Department will pay for up to three days of care if: 1. The provider charges private pay families on the basis of enrollment only; and 2. The child is not in attendance for three consecutive days and the client has not notified the provider that services are terminated. This is only for cases where the child is no longer attending, not for absences during ongoing care. 4-003.01A2 Exception for Foster Children/Adoption or Guardianship Subsidy: For foster children or children receiving adoption or guardianship subsidy, payment may be made based on enrollment within the following guidelines: 1. The provider must be licensed; 2. The provider must have written policies specifying that they charge private-paying families by enrollment; 3. The child must attend the child care facility for a minimum of 30 hours a week; and 4. The provider may charge a maximum of one daily unit for a day when the child is not in care or is in care for less than six hours.