The Cost of Care Plus Rate was introduced in CCB 23-25 and in CCB 23-37 where beginning January 1, 2024, through June 30, 2026, all providers will receive a monthly per child "Cost of Care Plus Rate" based on the region that they live in and their licensing status. 

This article will discuss how to input and update Cost of Care Plus Rates within CC4 and how to apply them to a payment. 

Adding Cost of Care Plus Rates

This first step will be to implement this Cost Plus Rate is to add each of the Cost Plus Rates per region and provider type. This will only need to be done once by a user that has the admin role:

1. Navigate to the Admin Module

2. Search Other Program

3. Click Add

From here, you are now going to enter:

1. Name - Both the Region and Provider Type for your COCP Rate

2. Code - A single string of letters and numbers that the system uses

3. Amount Type - select Set Amount

4. Amount - Enter the amount corresponding to your region and provider

5. Start Month For Licensed and Exempt Providers- December 2023

6. Start Month For Licensed Center Providers - June 2025

7. End Month - May 2026

Continue this for all COCP rates that are relevant to the area you serve. The Entries will be as follows:

Updating Existing Cost of Care Plus Rates 

Starting July 2025, there is a separate rate for Licensed Centers. Additionally, the rates for Licensed and Exempt Providers has been extended until June 2026. 

If you have previously entered the Cost of Care Plus rates for December 2023 - May 2025, new entries will need to be created for each type and a third entry will need to be added for Centers. The existing entries that had the end date of 05/2025 should not be extended. 

The new entry will include: 

1. Name - Both the Region and Provider Type for your COCP Rate

2. Code - A single string of letters and numbers that the system uses

3. Amount Type - select Set Amount

4. Amount - Enter the amount corresponding to your region and provider

5. Provider Type (Select one) - either Exempt, Licensed Home, or Center
6. Start Month - June 2025

7. End Month - May 2026

Ex. Cost of Care Plus For Exempt Provider in Central California 

Ex. Cost of Care Plus For Licensed Home Provider in Southern California 

Ex. Cost of Care Plus For Licensed Center Provider in Northern California 

Adding Cost of Care Plus Rates to a Payment

If configurations are properly made, CC4 will automatically apply Cost Plus after payment calculation. However, you can also manually make this determination:

Within the claim details, proceed with your child care payment calculation as normal. When ready to apply the Cost Plus Rate, you will need to be aware of two pieces of information:

1. Provider Type - This can be found on the claim under the Provider Section of the top banner.

2. Provider Region - This can be found by using the Provider Hyperlink to access the provider record to view the county information under Provider Info
   
   

   

   

After you have determined the correct Region and Provider type. Calculate the Payment as normal. Once this is completed, navigate to the Other Amount section of the payment.

From here, press the Pencil Icon to begin entering a new COCP Rate.

After selecting the correct COCP Rate, the system will populate the amount information, as well as the total combined amount of the original payment and Cost of Care Plus payment.

From this point, the Payment Specialist can now Commit the payment into the authorized status, where it can be exported as normal, after Export File Modification. Please contact MCT Technology Support Staff through your normal means of communication for assistance in Export File Modifications. Modifications will need to be made to display the correct Cost of Care Plus amount in your Payment Export File.

Reporting Included in Cost of Care Plus Update

We have included two new reports to track the inclusion of the Cost of Care Plus Payment, which will work side by side in assuring that Cost of Care Plus is applied to every payment.

1. Payment with Other Amount: Used to track which payments have had the other amount applied.
2. Payment without Other Amount: Used to track which payments have not had COCP applied.

Before export, always check the Payment without Other Amount, to assure that COCP have been applied correctly. In the event that COCP has not been applied before export, an adjustment will need to be created to add this COCP directly to the payment.