N.H. Admin. Code § He-C 6349.08

Current through Register No. 50, December 12, 2024

Section He-C 6349.08 - Application Process For Payment Standards For Licensed Exempt Child Care Services

(a) Applicants who seek initial certification to provide child in home care services shall contact a DCYF or DJJS district office supervisor or designee and request to be referred for certification for payment.

(b) The DCYF/DJJS district office supervisor or DCYF certification specialist shall assess the need for services, based on the following criteria:

(1) The number of children and families who require services exceeds the available community resources;

(2) A specialized service is necessary to meet the unique needs of children and families, and there are no currently certified providers who can provide the specialized service; and

(3) Any other case circumstance which requires the provision of services pursuant to a court order.

(c) If there is a need for a service based on (b) above, DCYF/DJJS shall forward an application packet to the applicant which includes:

(1) An "Application For Certification of Licensed Exempt Child Care service Providers";

(2) A "Licensed-Exempt Provider Agreement";

(3) An "Alternate W-9";

(4) He-C 6349;

(5) A "Medical information Statement";

(6) A "Service Provider Reference";

(7) A "Criminal Record Release Authorization" for the provider and all household members 17 years of age and older; and

(8) A "Central Registry Name Search Authorization" for the provider and all household members 10 years of age and older.

(d) If the individual whose name has been submitted for a criminal background check has been convicted of crimes against a minor or an adult or is the subject of a founded report of child abuse or neglect, the department shall conduct an investigation pursuant to He-C 6920.10 to determine whether the individual poses a threat to the safety of children.

(e) Each applicant and household member shall provide a statement indicating:

(1) Whether the applicant or any household member has ever been subject to disciplinary action by a licensing body or professional society, been found civilly liable for professional misconduct, or found to have committed an ethical violation by a state or national professional association or any other state's regulatory board, and if so, the name of the licensing body or professional society, the reasons, dates, and results; and

(2) Whether the applicant or any household member is currently listed in any child abuse and neglect state registry as having abused or neglected a child, and if so, the dates and reasons.

(f) The applicant shall sign the application.

(g) The applicant's signature shall constitute an acceptance of the terms below:

(1) The provider has read and understood He-C 6349;

(2) DCYF shall review financial information submitted for reimbursement for services provided to children and families; and

(3) The information contained in the application is true and correct to the best of the applicant's knowledge.

(h) Each applicant shall complete and return the application within 30 days to the DCYF certification specialist together with the following documents specified in He-C 6349.08(c) :

(1) The alternate W-9;

(2) The licensed-exempt provider agreement;

(3) A "Medical information Statement";

(4) A ""Service Provider Reference";

(5) The criminal record release authorization form; and

(6) The central registry name search authorization.

N.H. Admin. Code § He-C 6349.08

(See Revision Note at part heading for He-C 6349) #9268, eff 9-20-08

Amended by Volume XXXVI Number 36, Filed September 8, 2016, Proposed by #11166, Effective 9/19/2016, Expires 3/18/2017.