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Out-of-state center, family or group child care providers must be licensed and agree to: • Reimbursement via direct deposit • Enrollment in the on-line SVL system • Reimbursement at the Level B URBAN rate.

To request an out-of-state provider, the child care eligibility worker will contact the provider team (send email to the designated provider team staff). The request should include the following information: • Client’s name and Social Security Number • Provider’s name and complete address (street, city, state and zip code) • Contact telephone number for the out-of-state provider, including the area code.

Designated provider team staff will verify through that state’s child care website that the child care facility participates in the state’s child care subsidy program and has a licensing in good standing. Once verified, staff will make contact with the out-of-state provider and forward the following paperwork to them for completion:

• DSS Form 37126 (Out of State provider Enrollment Form and Agreement) • IRS Form W-9 • Direct Deposit Form 147C

Once the paperwork is received, provider team staff will:

• Submit a work order to have the out-of-state provider county added to the Child Care Scholarship Program database • Send the IRS Form 147C and IRS Form W-9 to finance to have the provider loaded into SCEIS.

Once the provider information has been loaded into SCEIS and a vendor number is obtained, the provider will be keyed into the system and any applicable connections made.

NOTE: For foster children or children with an open CPS case, the eligibility worker will be notified by provider team staff once the provide has been approved.