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This is the current Department of ChildSafety billing form for children place din both licensed and unlicensed foster care all the information must be correct to ensure proper payment the placements' info that×39’s you the foster parent is in the top right and bottom right corners the information on each shaded line is what the Department has in its system for the child the participant ID numberchild'’s name dates the child Athene ho meme for that month service subclassification and number of units or days the child was placed with you our most important if any of the information is incorrect the placement must draw Aline through the incorrect info and write the correct info on the blank lines directly below in the same column you must write the number of units used under the typed number if there were corrections these numbers would be the same if not they should be corrected you will not be paid unless you verify the numbers in this column by writing the correct numbers directly below the actual rates or amounts paid are set autopopulated amounts those rates also need to be verified off the current foster care rate chart especially if child has been classified as medically fragile or at a special rate if a rate amount is incorrect that must be handled through the DCS case manager and their management payment processing does not change rate amounts so no Correction scan be made in these columns if a childish completely missing from this statement right there complete information as shown for the other children in the first blank shaded line and include all info in the first seven columns that includes their participant ID number found on the notice to provider the child×39’s first and last name the start date that×39’s the date child Weiss placed with you the end date the last day the child was with you or the end of the month what funds or service auth types they were eligible for during that month the number of units or days the child was placed with you and the word day goes in the column marked unit of measure the following columns will be filled out byte people who process your checks after all information is either verified or corrected you the foster parent sign and date on the line provided then sent the top original copy back to Department child Safety at the address in the top left corner and keep the second copy for your records congratulations if you became licensed this month in your form does not reflect that change you will need to correct ITB first changing the end date to the last day you are unlicensed you will also need to correct the number of day sin this column to accurately reflect the number of days you should be paid the unlicensed rate then on the next available blank shaded line fill out allow the child's information again only this time the dates will show the time the child was in your care after becoming licensed the service also changes you can find your service type category on the current foster care rate...
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