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Forms November 2010

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Page 1: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

Forms

November 2010

Page 2: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

2

Child Care Forms

– Child Care Eligibility Certification Report – 2050

– Auth for Child Care Enrollment – Selected Referral – 2450

– Auth for Child Care Enrollment – Selected Provider – 2450

– Child Care Notification of Denial or Reduction – 2052/1071

Page 3: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

3

2050 –Child Care Eligibility Certification Report

• Enter TWIST ID of a Child Care Customer•Go to the Child Care Program Detail for which you want to print the report

• Click on the Printer Icon to view available forms• Select “Child Care Eligibility Certification Report – 2050”

Page 4: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

4

2050 –Child Care Eligibility Certification Report

•Form is displayed for review•Items 1 – 7 display data from information in Intake Common

Page 5: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

5

2050 –Child Care Eligibility Certification Report

• Items 8 – 14 display data from the Family and Income tabs on the Child Care Program Detail

Page 6: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

6

2050 – Child Care Eligibility Certification Report

•Maximum Allowable Income is displayed based on information from the eligibility code card

Page 7: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

7

2050 –Child Care Eligibility Certification Report

•Page 3 of Form 2050

Page 8: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

8

2050 –Child Care Eligibility Certification Report

•Select the Print Button to print the form

Page 9: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

9

2450 – Authorization For Child Care Enrollment - Selected Referral

•Go to the specific Program Detail referral tab•Select a child from the dropdown box•Highlight a specific child care referral

Page 10: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

10

2450 – Authorization For Child Care Enrollment - Selected Referral

•Click on the Printer Icon to view available forms •Select “Auth for Child Care Enrollment – Selected Referral – 2450”

Page 11: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

11

2450 – Authorization For Child Care Enrollment - Selected Referral

•Review the form

Page 12: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

12

2450 – Authorization For Child Care Enrollment - Selected Referral

•Comments, form reason (provide, Discontinue or update) and contractor name and address will have to be completed after the form is printed ( by hand or typed)

•Click the Print Button to print the form

Page 13: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

13

2450 – Authorization For Child Care Enrollment - Selected Provider

•Go to the specific Program Detail referral tab•Select a child from the dropdown box•Highlight a specific referral of the desired Provider

Page 14: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

14

2450 – Authorization For Child Care Enrollment - Selected Provider

•Click on the Printer Icon•Select “Auth for Child Care Enrollment – Selected Provider – 2450”

Page 15: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

15

2450 – Authorization For Child Care Enrollment - Selected Provider

•All Children with Referrals to this Provider will be listed including referral start and end dates

Page 16: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

16

2450 – Authorization For Child Care Enrollment - Selected Provider

•Comments, form reason (provide, Discontinue or update) and contractor name and address will have to be completed after the form is printed ( by hand or typed)

•Click the Print Button to print the form

Page 17: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

17

2052/1071– Child Care Notification of Denial or Reduction

• Enter TWIST ID of a Child Care Customer• Go to the Child Care Eligibility Menu Item• Click on the Printer Icon to view available forms• Select “Child Care Notification of Denial or Reduction – 2052”

Page 18: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

18

2052/1071– Child Care Notification of Denial or Reduction

• Review Form•Child Care Contractor and Comments will have to be completed after the form is printed • Click the Print Button to print the form

Page 19: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

19

Adding text to Forms

• Hand Written (Typed)• Stamp with Contractor name/address with rubber

stamp

• Entered Electronically• A method of entering input into a digital form

such as Microsoft’s Digital Imaging tools (included with Microsoft Office) may be used. 

• One such tool is Microsoft Office Live Meeting Document Writer which produces a MDI form that can be edited prior to printing. 

Page 20: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

20

Adding text to Forms – One method

•Entered Electronically (cont.)

• When selecting a printer, select Microsoft Office Live Meeting Document Writer if available

• Must use office 2003 or 2007 to use the printer

•Can be installed from original Microsoft Office installation media

• Install the Document Imaging option

Page 21: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

21

Adding text to Forms

•Click the Print Button to print the form• Select Microsoft Office Live Meeting Document Writer• Click the Print Button which automatically creates the *.mdi file

Page 22: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

22

Adding text to Forms

• Select the path to save the document• Type in the file name, do not change the suffix “.mdi”• Click the Save button

Page 23: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

23

Adding text to Forms

• Open the document found in the path where the document was saved• Type in the file name, do not change the suffix “.mdi”• Click the Save button

Page 24: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

24

Adding text to Forms

• Add a Text Box• Type in the information (change format if required)• Print form with text added • Save form with text added

Page 25: Forms November 2010. 2 Child Care Forms – Child Care Eligibility Certification Report – 2050 – Auth for Child Care Enrollment – Selected Referral – 2450

25

Adding text to Forms

• Enter comments in TWIST before Printing

• Analyzing method to enter and save comments on Child Care Forms in TWIST

• Will not be available 10/3/2011


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