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This document serves as a billing report for child care service providers to report the services rendered within a month to the Child Care Assistance Program in Alaska. It includes instructions for
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How to fill out CHILD CARE ASSISTANCE PROGRAM PASS II and PASS III MONTHLY BILLING REPORT FORM

01
Obtain the CHILD CARE ASSISTANCE PROGRAM PASS II and PASS III MONTHLY BILLING REPORT FORM from the appropriate agency.
02
Fill in the month and year for which you are reporting at the top of the form.
03
Provide your name and contact information in the designated sections.
04
Enter the names and ages of the children in care.
05
Record the total number of hours of care provided for each child during the reporting period.
06
Calculate the total billing amount based on your rates and the number of hours provided.
07
Sign and date the form to certify that the information is accurate.
08
Submit the completed form by the specified deadline.

Who needs CHILD CARE ASSISTANCE PROGRAM PASS II and PASS III MONTHLY BILLING REPORT FORM?

01
Child care providers who receive assistance for families through the CHILD CARE ASSISTANCE PROGRAM.
02
Providers who are billing for services rendered to eligible families under PASS II or PASS III.
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People Also Ask about

Families residing in Washington state may be eligible for Child Care Subsidy if their income is at or below 60% of the state Median Income (SMI) at application or 65% of SMI when reapplying. For a family of two, that is $3,641 per month, for a family of three $4,498, and for a family of four $5,354.
Staff in licensed child care centers and family child care homes must pass a criminal background check, attend initial and ongoing training and pass health and safety inspections. The number of children who can be cared for by one adult is limited by licensing regulations.
Working Connections Child Care (WCCC) helps eligible families pay for child care. When a family qualifies for child care subsidy benefits and chooses an eligible provider, the state pays a portion of the cost of child care. Parents may be responsible for a copayment to their provider each month.
Please contact the Centralized Child Care Assistance Unit by calling 866- 448-4605.
Daily child care rates — Licensed or certified family home child care providers. Toddlers (18 - 29 mos.) Region 4 Full-Day Half-Day Partial-Day $75.00 $37.50 $56.25 Region 5 Full-Day Half-Day Partial-Day $59.09 $29.55 $44.32 Region 6 Full-Day Half-Day Partial-Day $55.00 $27.50 $41.254 more rows
Federal law allows each state to set eligibility criteria for assistance. In Alaska, a family of three can qualify for assistance with an annual income up to $54,288 (about 69% of state median income). 60% of the children receiving a monthly subsidy are under age 5.
Families residing in Washington state may be eligible for Child Care Subsidy if their income is at or below 60% of the state Median Income (SMI) at application or 65% of SMI when reapplying. For a family of two, that is $3,641 per month, for a family of three $4,498, and for a family of four $5,354.
12 Steps for Hassle-Free Childcare Billing Determine your tuition rate. Set up one-time invoicing. Create an invoice. Create a fee template. Set billing policies. Establish a billing frequency. Choose a mode of payment. Record a payment.

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The CHILD CARE ASSISTANCE PROGRAM PASS II and PASS III MONTHLY BILLING REPORT FORM is a document used by childcare providers to report monthly billing information related to the services provided to families receiving child care assistance under the PASS II and PASS III programs.
Childcare providers who offer services to families enrolled in the CHILD CARE ASSISTANCE PROGRAM PASS II and PASS III are required to file this monthly billing report form.
To fill out the report form, providers must enter accurate billing details including the names of the children receiving care, the dates of service, the number of hours attended, and the corresponding charges. Providers must ensure all information aligns with the records in their childcare management system.
The purpose of the form is to document and submit monthly billing information to ensure that childcare providers receive proper compensation for services rendered to children covered under the assistance programs.
Required information includes the provider's details, child-specific information (names and IDs), dates of service, hours of care provided, total charges, and any applicable deductions or adjustments.
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