Mont. Admin. R. 37.80.316 - REQUIREMENTS AND PROCEDURES FOR CHILD CARE PAYMENTS
(1) Except as provided in (2) and (3), the
provider will receive payment for child care services when the care is provided
outside the child's home.
(2)
Payment will be made to the parent when a care giver, who does not live with
the parent or child, provides child care in the child's home.
(3) Payment will be made to the provider when
the provider participates in a tiered reimbursement program, as referenced in
ARM
37.80.205(6).
Tiered reimbursement programs are intended to benefit the higher quality child
care provider.
(4) In the case of
direct payment to the parents, the parents and/or the provider bear sole
responsibility:
(a) for obtaining provider
registration through ARM
37.95.103
prior to claiming payment for covered child care under this chapter;
and
(b) for resolving disputes as
to proper payment arising between the parent(s) and the provider.
(5) The provider must submit a
claim for covered child care services on the billing form provided by the
department. Except as provided in (4)(a), a completed billing form with all
information and documentation necessary to process the claim must be received
by the resource and referral agency of the department within 60 calendar days
after the last day of the calendar month in which the service was provided.
Timely filing of claims in accordance with the requirements of this rule is a
prerequisite for payment. In addition:
(a)
The claim must be for actual care provided by the provider designated on the
child care authorization and corresponding authorization plan as defined in ARM
37.80.102
and subject to the limitations described in ARM
37.80.201(9).
The provider may not bill for care subcontracted to another individual or
facility.
(b) The claim must
accurately reflect the child's time in and time out as indicated on the
provider's sign-in/sign-out records.
(c) The claim must be verifiable through the
provider's sign-in/sign-out records as required in ARM
37.80.301(5).
(d) If the authorization and
corresponding authorization plans are not completed until after the calendar
month in which the child care is provided, the claim will be considered to be
filed timely if a completed billing form with all information and documentation
necessary to process the claim is received by the department or the entity
designated by the department for this purpose within 60 days after the billing
document is sent to the provider.
(e) If corrections or adjustments to a
submitted claim are necessary, they must be received by the department or its
designated entity within the 60 day period prescribed by this rule for timely
filing of the claim.
(6) Once an invoice is submitted, invoices
are processed within three business days by the child care resource and
referral agency.
(7) In cases where
payments are made directly to the parent, a parent who fails to pay the
provider will be ineligible for further child care assistance until the
provider has been paid in full or the parent has made arrangements for payment
which are satisfactory to the provider.
Notes
AUTH: 52-2-704, MCA IMP: 52-2-704, 52-2-711, 52-2-713, MCA
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