M E M O R A N D U M

IM-101  06/30/00  PROVIDER/PARENT REGISTRATION NOTIFICATION


SUBJECT:
FAMILY CHILD CARE PROVIDER NOTICE OF REGISTRATION APPROVAL/ REJECTION, FORM IM-94A AND PARENTAL NOTICE OF FAMILY CHILD CARE PROVIDER REGISTRATION APPROVAL/REJECTION, FORM IM-94B
   FORMS MANUAL REVISION #22
 
DISCUSSION:
Due to requirements that registered family home providers complete a background screening and provide proof of social security number, date of birth and Tuberculosis test, two new child care forms have been developed.

Family Child Care Provider Notice of Registration Approval/Rejection (IM-94A):

The Family Child Care Provider Notice of Registration Approval/Rejection, (IM-94A), is used to notify the registered family child care provider applicant of:

  • The approval of their registration request;
  • The denial of their registration request because of a failed background screening;
  • The denial of their registration request because of a failed background screening of a household member; or,
  • The denial of their registration request because they failed to provide proof of their social security number, date of birth or Tuberculosis test.
Discontinue use of the Child Care Benefit Determination Notice (IM-32CC) for the purpose of notifying a new provider.

The IM-94A is used to notify new providers and providers whose registration lapsed the results of the background screening. There are no comparable FAMIS forms as the provider may not have a vendor number or will not be open in the FAMIS Provider Maintenance system. An electronic form is currently under development and will be available to county offices when completed.

If the provider is approved, the following is sent with the 
IM-94A:

  • the Child Care Vendor Attendance Records (IM-65B);
  • Sample IM-65A Child Care Invoice (IM-93 Attachment A);
  • Sample Child Care Authorization Letter (IM-93 Attachment B); and
  • Information on training opportunities for child care providers in your area.
If the provider has been rejected, the bottom portion of the 
IM-94A may be completed and detached to request a hearing.

Parental Notice of Family Child Care Provider Registration Approval/Rejection (IM-94B):

The Parental Notice of Family Child Care Provider Registration Approval/Rejection, (IM-94B), is used to notify the child care assistance applicant/recipient that the person they have selected to provide child care has been approved or rejected as a registered family child care provider.  It is also used to notify the child care assistance applicant/recipient if the requested provider has failed to supply proof of their social security number, date of birth or Tuberculosis test.

Discontinue use of the IM-32CC for the purpose of notifying a child care assistance applicant/recipient that the requested family child care provider has been rejected.

If their selected child care provider has been rejected, send the appropriate provider registration forms as noted on the 
IM-94B so a new provider may be screened.

A copy of each form and instructions are attached to this memorandum.

Continue use of the Notice of Adverse Action (IM-80) for open registered providers.

FAMIS is developing new termination reason codes for registration closings due to background screening issues.  When these codes are in place, an adverse action notice will be system generated to the provider.

 
NECESSARY ACTION:
  • Place the IM-94A, IM-94B and instructions in the Income Maintenance forms manual;

  •  
  • Begin utilizing the IM-94A to notify registered family child care providers of the approval or rejection of the child care registration;

  •  
  • Begin utilizing the IM-94B to notify child care assistance applicants/recipients of the approval or rejection of their selected registered family child care provider.
  • DC/JR
    Distribution #2
    Forms not available on line.

    [ Memorandum Table of Contents ]