Section He-C 6912.05 - Preventive Child Care Verification Requirements(a) Comprehensive family support agencies shall document the need for preventive child care in the service plan.(b) Preventive child care shall be authorized on Form 1902 for each period of up to 4 months.(c) The comprehensive family support agency shall indicate on Form 1902 "Referral for Preventive Child Care Services" (June 2017) if the family income exceeds TANF guidelines in order for other funding to be used for preventive child care.(d) Comprehensive family support agencies shall verify family income and retain the documents listed below in the client file:(1) Financial statement sheet with parent signature; and(2) Proof of income such as pay stubs, tax returns, social security statements, and child support statements.(e) Comprehensive family support agencies shall verify the utilization of preventive child care scholarship through one of the following methods: (1) Weekly home visit with the family;(2) Monthly telephone calls or visits to the child care center; or(3) Meetings at the child care provider location to discuss the needs of the child while in the child care setting.(f) The following verification requirements shall apply for a child experiencing a disability or significant special need(s):(1) The parent or guardian shall authorize the release of information to DHHS by completing section III of Form 2690 "Verification for a Child Experiencing a Disability or Significant Special Needs," (July 2015), and by signing and dating the form, affirming the following: "By signing below, I authorize this verification to be released to the Department of Health and Human Services. I understand that the information will be held in the strictest confidence and that it will be reviewed by, or shared with, authorized Department of Health and Human Services' staff involved in the authorization of Child Care and Development Fund Scholarships."
(2) The child care provider shall complete section I of Form 2690, "Verification for a Child Experiencing a Disability or Significant Special Needs," (May 2020); and, sign and date the form, certifying the following: a. "I certify that the child's disability or special need(s) is significant enough that the child requires additional funds for accommodation or classroom adaptation in the child care setting;" and b. "I agree to submit an annual report to DHHS specifying how the monies were spent which include all DHHS requested information necessary for program monitoring."(3) A licensed professional shall complete section II of Form 2690, "Verification for a Child Experiencing a Disability or Significant Special Needs," (May 2020), and sign and date the form, certifying one of the following, as applicable: a. "I certify that: I am the child's attending physician, physician's assistant, advance practice registered nurse, or licensed mental health professional and am providing ongoing treatment; the child's disability or special need(s) is significant enough that the child requires additional support in a child care setting; and, if the child is 13 through 17 years of age, the child's condition limits the child's ability to care for himself/herself or he/she would cause harm to himself/herself or others without supervision."; orb. "I certify that I am a SAU Special Education Director or Area Agency Director and I believe that the child's disability or special need(s) is significant enough that the child requires additional support in a child care setting."(g) The provider shall complete and submit to the department Form 1864 "Protective Child Care Provider Verification" (February 2017).N.H. Code Admin. R. He-C 6912.05
Derived from Volume XXXVII Number 28, Filed July 13, 2017, Proposed by #12222, Effective 7/10/2017, 7/10/2027.Amended by Volume XL Number 27, Filed July 9, 2020, Proposed by #13064, Effective 7/1/2020, Expires 7/1/2030