4.6.1.30 CCS - initial payments
Summary
This topic contains information on an individual (1.1.I.90) and covers:
Initial CCS payment following new CCS claim
Following an initial determination of eligibility, payment of CCS or ACCS entitlement will be made either to the approved provider (1.1.A.90), or the individual. The payment recipient (1.1.R.07) depends on the timing of the submission of session reports (1.1.S.35) by the approved provider and the approval of the individual's claim (1.1.C.27) for CCS.
There are 2 possible scenarios.
Scenario 1: The individual makes an effective CCS claim before the approved provider submits any session reports for the child. The initial payment will be made to the provider.
Example: Oscar submits a claim for CCS on 6 September 2023 and is found to be eligible and entitled to CCS. His eligibility to CCS is backdated to 21 August (as this date is not more than 28 days before the claim was made, and it is the first Monday of a CCS fortnight). His son Alex commences child care on 10 September 2023. As no session reports were submitted for Alex before Oscar's effective CCS claim was lodged, Oscar's initial (and subsequent) CCS payments will be paid to the approved provider, once they start submitting session reports for Alex.
Scenario 2: The individual makes an effective CCS claim after the approved provider has already submitted session reports. The initial payment will be made to the individual.
Example: Charlotte commences at a child care service on 10 July 2023. Her mother, Matilda submits a claim for CCS on 23 August 2023 and is found to be eligible and entitled to CCS. Her eligibility is backdated to 7 August 2023 (as this date is not more than 28 days before the claim was made, and it is the first Monday of a CCS fortnight). Charlotte's approved provider starts to submit session reports from 15 July 2023 (the end of the first week that Charlotte attended care). Matilda's initial CCS payment, for care already reported between 7 August and 23 August 2023, will be paid directly to Matilda (the CCS claimant). For care reported from 23 August onwards, Matilda's CCS entitlement will be paid directly to the approved provider.
Act reference: FA(Admin)Act section 45 When determination is in force, section 67EC(4) After CCS reconciliation conditions met