1215.040.00  CHILD CARE RATE ENHANCEMENTS

CD11-35/OEC11-09 - 04/07/11

PURPOSE AND OVERVIEW

The purpose of this section is to provide an overview of the rate differentials available to child care providers.

1215.040.005 SPECIAL NEEDS RATE ENHANCEMENT

Child care providers are eligible for a rate differential, over the base rate, for services provided to a child with special needs. This rate differential is an increase of twenty-five percent (25%) over the base rate and payment is child specific.  The provider is paid for the child identified as having special needs.  This rate differential is system generated for both income eligible and protective services children.  All children in the custody of the Children's Division (CD), receiving Adoption Services, Family-Centered Out-Of-Home Care, Intensive In-Home Services (Foster Care), and Family Centered Services are  considered special needs and are eligible for this additional payment.  (See Definitions of Special Needs Child 1210.020.15.35and Verification of Special Needs 1210.020.15.40 for income eligible children.)

1215.040.010 ACCREDITATION RATE ENHANCEMENT

Child care providers who have obtained accreditation by an accrediting organization recognized by the Department of Social Services (DSS) are eligible for a rate differential over the base rate. This rate differential is an increase of twenty percent (20%) over the base rate and is specific to the provider.  To view the recognized accrediting organizations go to http://www.dss.mo.gov/cd/early/accorg.htm.

To qualify for accreditation rate differential the provider must meet the following criteria:

Early Childhood and Prevention Services (ECPS) staff is responsible for entering and updating the information regarding accreditation. FAMIS will automatically add the accreditation payment, service code ACRD, for qualified child care providers whenever a child care payment is entered into the system.  The rate differential will be effective the service month following the date required documentation is completed and reviewed by Central Office ECPS.

Ninety (90) days prior to the end of the provider's accreditation rate differential, ECPS will send a letter notifying the provider of the upcoming end date of the accreditation rate differential with a new Child Care Provider Accreditation Rate Enhancement Agreement (CD-149).  The provider must submit the CD-149 and a copy of the new certificate of accreditation no later than 15 days prior to the end of the current rate differential period.

Providers who have not submitted a new Child Care Provider Accreditation Rate Enhancement Agreement (CD-149) and a copy their new accreditation certificate will be sent a letter, no less than 30 days from expiration, notifying them of the end of their eligibility for the rate differential.  The provider is responsible for submitting a new Child Care Provider Accreditation Rate Enhancement Agreement (CD-149) and a copy of their new accreditation certificate.  Providers who do not submit a new accreditation certificate and a new accreditation agreement will lose the accreditation rate differential. A letter will be sent to the provider, notifying the provider their accreditation rate differential has ended effective with the end date indicated on their certificate of accreditation.

The provider must notify DSS of changes in their accreditation status, i.e. accreditation has ended prior to the end date on the accreditation certificate.  The provider is ineligible for accreditation rate differential payments after losing accreditation status.  DSS will recoup any overpayments.

1215.040.015 DISPROPORTIONATE SHARE RATE ENHANCEMENT

Licensed providers who are contracted, and provide care for a disproportionate share of children receiving child care assistance from the DSS, may qualify for a rate differential over the base rate.  This rate differential is a thirty percent (30%) increase over the base rate and is specific to the provider.  A provider is eligible for this increase if the number of subsidized children is at least fifty percent (50%) of the total number of children in their care.  The eligibility for this increase is based on the number of children in their care rather than a percentage of the provider's capacity.  Child Care providers currently receiving this increase will be reviewed annually to ensure the number of subsidized children is at least fifty percent (50%) of the total number of children in their care.  ECPS staff is responsible for entering and updating the information regarding disproportionate share. The system will automatically add the disproportionate share payment, service code DISP, for qualifying child care providers whenever a child care payment is entered into the system.

Circumstances allowing providers to maintain their disproportionate share:

Note:  Licensed providers must notify DSS of any of the above changes within thirty (30) days of change.

Circumstances causing a provider to lose their Disproportionate share:

NOTE:  A new application for disproportionate share rate differential is defined as an application from a newly licensed provider or a licensed provider whose contract has lapsed more than 30 days. No new applications for the disproportionate share rate differential are being accepted at this time.