<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 13A.14.06.06" title_num="13A" subtitle_num="14" chapter_num="06" heading="Provider Requirements.">
  <paragraph num="A.">
    <text>Subsidized child care services may be provided only by:</text>
    <paragraph num="(1)">
      <text>A family child care home;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A child care center; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An individual approved by the CCS Branch to provide informal child care.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Maryland EXCELS Participation.</text>
    <paragraph num="(1)">
      <text>Effective June 29, 2015, the operator of a child care center or a family child care home may not receive CCS Program reimbursement for child care services provided on or after that date unless the operator has applied on or before that date to participate in Maryland EXCELS.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Within 12 months of acceptance into Maryland EXCELS, the operator of a child care center or a family child care home shall request Maryland EXCELS to publish the program’s quality rating in order to remain eligible for continued CCS Program reimbursement.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An informal child care provider is not eligible to participate in the Maryland EXCELS program.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Tiered Reimbursement.</text>
    <paragraph num="(1)">
      <text>Eligibility for tiered reimbursement payments is limited to a child care center or a family child care home that has a published Maryland EXCELS quality rating level of 3, 4, or 5.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An informal child care provider is not eligible for tiered reimbursement payments.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An eligible provider shall be paid a tiered reimbursement amount for each CCS Program child in care that is:</text>
      <paragraph num="(a)">
        <text>In addition to the child’s subsidy payment; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Reflective of the applicable percentage specified at §C(4) of this regulation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>A tiered reimbursement payment amount is determined by multiplying the child’s subsidy amount by the applicable percentage specified for the provider’s Maryland EXCELS level:</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A provider’s tiered reimbursement payments become effective for the first service period following the provider’s publication at Maryland EXCELS at quality level rating 3, 4, or 5.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Informal Child Care.</text>
    <paragraph num="(1)">
      <text>The customer may choose to use an approved informal child care provider.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The contractor shall provide payment for the following informal child care arrangements:</text>
      <paragraph num="(a)">
        <text>Relative care;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>In-home care; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Babysitting.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>In addition to submitting a CCS Program services application, the customer shall submit to the contractor a signed statement, on a form provided by the contractor, that specifies:</text>
      <paragraph num="(a)">
        <text>Where the informal care is to be provided;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The relationship of the child to the informal child care provider; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The names and ages of each child who will receive informal child care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Unless approved as an informal child care provider before April 1, 2015, each individual who provides informal child care shall be a Maryland resident.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>An informal child care provider and each individual 18 years old or older who is a resident in the home shall apply for a fingerprint-supported State and federal criminal background check.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Criminal Background Check Review.</text>
      <paragraph num="(a)">
        <text>An individual who wishes to serve as an informal child care provider and each individual 18 years old or older who is a resident in the home shall apply for a fingerprint-supported State and federal criminal background check.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The CCS Branch may not approve an individual to serve as an informal child care provider if the individual or a resident in the home who is 18 years old or older has received at any time a conviction, a probation before judgment disposition, a not criminally responsible disposition, or a pending charge for the commission or attempted commission of:</text>
        <paragraph num="(i)">
          <text>A crime involving a child, cruelty to animals, domestic violence of an intimate partner or spouse, or a weapons or firearms violation of federal or State law;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A sex offense;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>A violent crime classified as a felony;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Abduction or kidnapping;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Abuse of a child or an adult;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Confinement of an unattended child;</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Manufacturing, distributing, or dispensing a controlled dangerous substance if committed during the preceding 5 years;</text>
        </paragraph>
        <paragraph num="(viii)">
          <text>Perjury;</text>
        </paragraph>
        <paragraph num="(ix)">
          <text>Pornography;</text>
        </paragraph>
        <paragraph num="(x)">
          <text>Possession with intent to manufacture, distribute, or dispense a controlled dangerous substance if committed during the preceding 5 years; or</text>
        </paragraph>
        <paragraph num="(xi)">
          <text>Reckless endangerment.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Child Abuse and Neglect Record Review.</text>
      <paragraph num="(a)">
        <text>The contractor shall conduct a child abuse and neglect record review for each individual who:</text>
        <paragraph num="(i)">
          <text>Applies to serve as an informal provider; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Resides in the informal care home and is 18 years old or older.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>At least once every 2 years that an informal provider continues to provide care, the contractor shall conduct a new child abuse and neglect record review for:</text>
        <paragraph num="(i)">
          <text>The provider; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Each resident of the home who is 18 years old or older;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>The individual applying to serve, or serving, as an informal provider shall submit to the contractor a signed, dated, and notarized consent form that authorizes the CCS Branch to conduct a review of child abuse and neglect records for information about:</text>
        <paragraph num="(i)">
          <text>The individual; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Each resident in the informal child care home who is 18 years old or older.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>If a child abuse and neglect record review finds that the subject of the review may have been responsible for abuse or neglect, the contractor shall make a request to the local department of social services for the details of the finding.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>Informal Care Home Child Capacity.</text>
      <paragraph num="(a)">
        <text>Unless approved otherwise by the CCS Branch, an informal child care home may not contain more than:</text>
        <paragraph num="(i)">
          <text>Six children present in care at the same time; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Two children younger than 2 years old in care at the same time.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>In determining the maximum child care capacity of an informal care home, the contractor shall count a resident in the home who is younger than 6 years old as a child in care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>An individual is approved to serve as an informal child care provider as of the date on which the contractor is in possession of documentation showing that the individual and each resident in the home who is 18 years old or older has successfully passed a:</text>
      <paragraph num="(a)">
        <text>Criminal background check; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Review of records of abuse and neglect of children or adults.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>Payment to an approved informal provider is effective on the date that the individual is approved to serve as an informal child care provider.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>The contractor may not approve payment:</text>
      <paragraph num="(a)">
        <text>If an informal child care provider or a resident in the home who is 18 years old or older has not successfully passed a:</text>
        <paragraph num="(i)">
          <text>Criminal background check; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Review of records of abuse and neglect of children or adults; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>For any day on which the provider is determined to be out of compliance with the child capacity requirements set forth at §D(8) of this regulation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(12)">
      <text>Disapproval of payment to an informal provider pursuant to §D(11)(a) of this regulation shall be effective as of the day on which the contractor receives information that the provider or a resident in the home who is 18 years old or older has not successfully passed a criminal history background check or a review of records of abuse and neglect of children or adults.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>If payment is disapproved, the contractor shall provide written notification of that disapproval to the:</text>
      <paragraph num="(a)">
        <text>Provider; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Parent of each child in care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(14)">
      <text>An individual providing, or applying to provide, informal child care services does not have hearing and appeal rights under the CCS Program except in the case of an intentional program violation.</text>
    </paragraph>
  </paragraph>
</regulation>