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. 

The following rates were updated on September 22nd via CCB 26-22

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 - June 2026 (If using our Automated Adjustment script, this will be September 2026)

6. End Month - June 2027

Continue this for all COCP rates that are relevant to the area you serve. Please see below for the new Cost Plus values 

Updating Existing Cost of Care Plus Rates (2026 Script) 

All on-time timesheets received after September 22nd, 2026 must be paid at the new rate. In order to accommodate the upcoming script automation, please follow the steps below to configure the new Cost of Care rates. 

New entries will need to be created for each type and a third entry will need to be added for all Provider Types. In addition, the previous Cost Plus entries must be ended as of August 2026. Failure to follow the steps outlined below may result in being unable to use the 2026 Adjustment Script.

Step 1: End all current Cost of Care entries as of August 2026
 

Step 2: Add the Cost Plus Entries for the new rates effective September 2026. When the script is run, these values will be adjusted to June 2026 to align with CCB 26-22. The current instruction is to account for On-Time Timesheets only.

The new entry will include: 

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

2. Code - The Codes from the table below must be used

3. Amount Type - select Set Amount

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

5. Counties - Select the correct counties as dictated by the region. This can be found on CCB 25-29. The county selection must be correctly applied on a region by region basis.

6. Provider Type (Select one) - either Exempt, Licensed Home, or Center
7. Start Month - September 2026

8. End Month - June 2027

After performing this update, any September payments that have already been issued at the old rate must be manually adjusted. 

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.