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Claims and Sign-In Policy
Caregiver/Provider Claim Process For Payment

Claims will be mailed to the providers about 1 week prior to the end of each month to commence the payment process for day care services. Providers must submit the following forms to the Child Care Assistance office for payment for services:

  • Monthly Day Care Claims Cover Sheet:  The cover sheet is a summary of the month’sistock_000008364598xsmallethniccircle claims for the care of eligible children.  This form must be completed, signed and submitted by the Provider.
  • Day Care Claims:  A claim for each eligible and approved child, along with the month’s sign in sheet for that child, must be completed by the provider and signed by the parent/guardian.
  • Caregiver/Providers shall not “loan out” child(ren) for someone else to care for and collect monies from CCDF Funds.  This constitutes fraud, and may result in termination from this program.  
  • Due Date: Claims should be submitted during the month after the day care services are rendered. 
  • When Will Payment be Received:  We cannot guarantee an exact date for payment.  However, if completed Claims are received in our office by the fifth (5th) of the month, you may expect your check for services usually by the 15th of the month.  Holidays or incomplete claims may delay payment.  Claims received after the 5th of the month will be processed as soon as possible, with no guaranteed payment date.

Sign-In Policy


Parents are required to sign their children in and out daily at the provider’s home or center, and providers should check daily to ensure this is done.  Our monitoring workers perform unannounced visits to the providers to check sign-in sheets and will document any violation of this policy.  If your facility is found to be in non-compliance of the sign-in sheet policy, the first occurrence will be documented.  If your facility is found to be in non-compliance the second time, your facility will be terminated from the Program.