Or. Admin. Code § 414-175-0085 - Direct Provider Payments
(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.
Notes
Statutory/Other Authority: ORS 329A.500
Statutes/Other Implemented: ORS 329A.500
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