Provider Rate Form

Please report your rates in half day and full day formats for infants (0-3 years), preschool age (3-6 years), and school age (6 years and up). Child Care Resources cannot calculate amounts for half day and full day based upon weekly or monthly rates nor can we assume the amounts you are charging if boxes are left blank. We will not be able to enter rates correctly in the system for Best Beginnings Scholarship payment purposes and it can hinder authorizations from being set and pending invoices from being paid.
  • Please mark the appropriate box below.
  • PLEASE INITIAL THE FOLLOWING STATEMENTS. THE FOLLOWING STATEMENTS APPLY TO THE PROVIDER RATES FOR THE BEST BEGINNINGS CHILD CARE SCHOLARSHIP.
  • Child care provider reimbursement rates are set by the state of Montana. I, as a child care provider, can report different rates following the methodology of the state. The following methodology is used:
    • Age increments: Infant/toddler (birth to 35 months), Preschool Age (Age 3 up to age 6), and School Age (Age 6 Up to Age 12)
    • Half-time day (Less than 6 hours) and Full-time day (More than 6 to 12 hours)
  • It is not the responsibility of the Child Care Resource and Referral (CCR&R) agency to calculate amounts for half day and full day based on other payment methodology I may submit.
  • The CCR&R agency cannot assume the amounts that you are charging if rate fields are left blank. No data will be updated if a rate field is left blank. Rates will not be able to be entered into the system for Best Beginnings scholarship payment purposes which may hinder the creation of authorizations and the payment of invoices.
  • Rates supplied below will be effective the first of the month following the date we receive them in accordance with the policy outlined below. Policy Section 1-4: Scholarship Rates, Provider Must Report Rates and Associated Changes (Page 1 of 2), “Participating child care providers must report their current rates for private-pay families to the Child Care Resource and Referral [CCR&R]. Rate changes, for scholarship payments, become effective the first of the month following the date the change is made.”
  • It is a provider’s responsibility to report a change in the child care facility’s provider rates.
    • A change in child care provider type does not automatically change the reimbursement rate provider could receive.
  • If you are a new provider, your rates will be entered into the Child Care Under the Big Sky (CCUBS) computer database with an effective date coinciding with your license effective date for payment purposes.
    • If you have been a provider in the past, please note that reporting the rates you charge for services immediately to your CCR&R agency could eliminate the possibility of a delay in rate adjustment from your previous license timeframe to your new license begin date.
  • The following information will be used for payments from the Best Beginnings Child Care Scholarship. You must report rates only per the time periods and age increments indicated in the reimbursement rate methodology. These reported rates will only be updated in the Child Care Under the Big Sky (CCUBS) computer database.
  • Provider Rates for Best Beginnings Child Care Scholarship

  • Infant/Toddler
    (Age 0 up to 3)
    Preschool Age
    (Age 3 up to 6)
    School Age
    (Age 6 and over)
  • PLEASE INITIAL THE FOLLOWING STATEMENT. THE FOLLOWING STATEMENT APPLIES TO THE PROVIDER RATES FOR THE REFERRAL PROGRAM ONLY.
  • It is not the responsibility of the Child Care Resource and Referral (CCR&R) agency to calculate amounts for any blank fields based on other payment methodology I may submit.
  • The CCR&R agency cannot assume the amounts that you are charging if rate fields are left blank. No data will be updated if a rate field is left blank.
  • It is a provider’s responsibility to report a change in the child care facility’s provider rates.
    • A change in child care provider type does not automatically change rates for a provider.
  • The following information will be available in child care referrals. You may report rates in any of the following time periods and age increments that are in line with your private-business practices. The rates reported below will only be updated in your Referral Profile used for child care referrals.
  • Provider Rates for Referral Program Only

  • Hourly Daily Weekly Monthly Other
    Part Time Full Time Part Time Full Time Part Time Full Time Part Time Full Time Part Time Full Time
    Infant
    (0-23 months)
    Toddler
    (2 years)
    Preschool
    (3-5 years)
    School Age
    (5+ years)
  • Date Format: MM slash DD slash YYYY