Current through Register Vol. 63, No. 9, September 1, 2024
(1) The
Department makes payments on behalf of eligible individuals to the providers
they select to care for their children. The payments are made directly to the
provider. To be eligible for payment, a provider must:
(a) Charge individuals receiving ERDC
benefits at a rate no higher than the rate charged other customers;
(b) Provide the Department their social
security number (SSN) or IRS identification number; and
(c) Meet the requirements of OAR
414-175-0080.
(2)
Payments to a provider of an individual receiving ERDC benefits are subject to
each of the following limitations:
(a) Before
August 1, 2021, payment is made for child care already provided in the ERDC
program for all providers except Certified Centers certified by the Office of
Child Care who receive payment in advance for anticipated hours a child is in
care for the month.
(b) Payment is
made for the amount charged to the individual but may not exceed the rate
authorized in OAR 414-175-0075.
(c)
No payment will be authorized unless the individual has designated a primary
provider.
(d) No payment will be
made for less than one dollar.
(e)
Except as provided otherwise in subsection (f) of this section, a payment is
made only for child care provided on or after the date the designated provider
has met the requirements to be listed and paid through the
Department.
(f) A designated child
care provider who the Department approves to be listed and paid through the
Department may receive payment for child care provided prior to obtaining
Department approval if the provider met the other Department requirements and
was licensed under OAR 414-205-0000 to 414-205-0170, 414-350-0000 to
414-350-0405, 414-305-0100 to 414-305-1620, or 414-310-0100 to
414-310-0720.
(g) A caretaker
signature is not required on child care billing forms.
(h) A provider caring for an eligible child
may receive payment in advance for hours the child is scheduled to be in care
for the month.
(3) The
Department may issue a payment to an eligible provider during a month for which
child care is being provided to meet an unexpected need of the provider related
to the care of a covered child. The payment may be made if, without the
payment, continued care by the same provider would be jeopardized and the
client could not immediately obtain child care from another provider.
(4) Child care providers must submit claims
for child care on the appropriate form designated by the Department.
(a) The provider is responsible to obtain the
appropriate payment form from the Department and to return the completed form
to the Direct Pay Unit of the Department; or
(b) If using the Department tracking system,
the provider is responsible to ensure children are checked in and out
appropriately and payment requests are submitted through the system.
(5) No payment will be made for:
(a) A paper claim not received by the
Department by the last day of the third month after the form was issued unless
the Department determines the provider had good cause for not returning the
form timely.
(b) An electronic
claim if the request is not submitted by the 10th of the month following the
month care is provided unless the Department determines the provider has good
cause for not submitting the electronic claim timely.
(6) Child care billing forms cannot be issued
or reissued more than 12 months from the month that care was
provided.
Statutory/Other Authority: ORS 329A.500
Statutes/Other Implemented: ORS
329A.500
