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The VA ECC Vendor Attendance Report form plays a crucial role in the process of documenting attendance for child care services in Virginia. This form helps vendors keep track of service periods and provides important information such as vendor ID, case number, vendor and parent details, and child client ID. To successfully complete the form, vendors must ensure all required sections are filled out accurately, from attendance dates to specific time entries. If a vendor encounters issues—like a malfunctioning Point of Service (POS) system or a missing VA ECC swipe card—they must provide valid reasons supported by appropriate documentation. This is essential because attendance forms submitted without valid reasons won't be processed for payment. It's also important to submit the form within 30 days of the service period to avoid delays. Parents and vendors must sign the form, with both signatures in blue ink, to confirm the accuracy of the attendance record. By adhering to these guidelines, all parties can ensure a smooth reporting process and receive the financial support they depend on.

Va Ecc Vendor Attendance Report Example

 

 

VA-ECC VENDOR ATTENDANCE REPORT

 

 

 

 

 

Service Period

Start Date:

 

End Date:

Vendor ID:

 

 

Case Number:

 

Vendor Name:

 

 

Parent Name:

 

Vendor Address:

 

 

Parent Address:

 

City, State, ZIP:

 

 

City, State, ZIP:

 

Administrator:

 

 

Child Client ID:

 

Vendor Phone:

 

 

Child’s Name:

 

Please read complete form before submitting any manual attendance (Detailed directions are on page 2)

If the Vendor Attendance Report (Manual Attendance) does not include a valid reason code as shown below or is missing valid documentation, this form will not be processed. Any attendance not received by VDSS within 30 days of the service period will not be accepted or processed for payment. Please make copies of all completed attendance forms before sending the original forms as they will not be returned. The three (3) valid reasons for submitting attendance are listed below and are in compliance with the Vendor Agreement in sub-section 9.6. Manual attendance submitted for invalid reasons will not be processed or returned.

Valid Manual Attendance Submission Reasons: (choose)

1.POS/IVR

Unresolved Error Message: Include exact message, date and time error message was reported to Conduent call center and the ticket number.____________________________________________________________________

No POS: (Required Information) Date new POS was ordered______________________________________

Damaged POS/IVR (Required Information) Ticket number from Conduent for repair or replacement of POS/IVR order and date request was made. Attach further documentation as needed. __________________________________

2.VA-ECC Card:

Parents/families that have not been issued their VA-ECC swipe card. Requiring parents/families to record attendance by POS or by IVR is required. Manual attendance submitted for parents/families that are not recording their attendance by POS or IVR but have been issued a VaECC card is not a valid reason for manual attendance submissions. Manual Attendance for invalid reasons will not be processed for payment.

(Required Information) Date new card was requested. ____________The VaECC card, once ordered, will be available within 7-10 business days. The Case Manager should be notified if the VaECC card is not received within that time period. Attendance is required to be entered by POS or IVR by back swiping up to the previous 8 days once the card is received.

3.Retroactive Authorization:

If the case manager issues a Purchase of Service Order with an effective date prior to the eight-day back swipe period then attendance can be entered manually. This is not a common occurrence.

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Time In

Time Out

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I certify that this statement of services provided by this provider is an accurate and true record of attendance. I understand that I can be prosecuted for fraud if this is a false statement.

Parent Signature/Date ______________________________________________/ _______________________________

Vendor Signature/Date_____________________________________________/________________________________

Rev. 08.27.19

VA-ECC VENDOR ATTENDANCE REPORT

Instructions for Completion of VA-ECC Vendor Attendance Report

Each line must be filled out per instructions

1.Service Period- The first day on the month through the fifteenth day of the month or the sixteenth day of the month through the end on the month. Submit only requested dates for attendance do not include the entire service period unless necessary.

2.Vendor information

a.Vendor ID – your 9 digit Vendor ID from your Purchase of Service Order

b.Vendor Name – Enter the name of the business

c.Vendor Address- street address of the center or home where the care is provided

d.City, State, Zip Code where the care is provided

e.Administrator- Child Care director or authorized representative to contact

f.Vendor Phone- Child care phone number

3.Parent Information

a.Case Number- 9 digit Case Number from your Purchase of Service Order

b.Parent Name- first and last name of the child’s parent/guardian

c.Parent Address-Street address

d.City, State and Zip Code

4.Child’s Information

a.Child Client ID: 10 digit child Client ID number from the Purchase of Service Order

b.Child’s Name- first and last name of the child (one child per form)

5.Manual Attendance Reason: (Please see valid reason descriptions on the front of the attendance form)

a.VA-ECC Card issues

b.POS/IVR

c.Retroactive Authorization – Effective begin date on Purchase of Service Order is more than 8 previous days.

6.Attendance Report Details

a.Date-Enter each Date for the service period 1st-15th or the 16th –the end of the month

b.Day – Enter each Day of that attendance is requested

c.Code- Enter a 3 letter code (ATT, AFD, APD, and HPD) See code definitions on # 7 Attendance Codes below.

d.Time In-Enter the exact time the care. Hour and minute, AM/PM,

e.Time Out -Enter the exact time the care. Hour and minute, AM/PM,

f.Hours-Enter the total hours and minutes for each day the child was in care

7.Attendance Codes

a.ATT-Attendance; must enter Time In, Time Out and total hours and minutes

b.AFD-Absent(Full Day) child was absent, vendor was open, child was authorized and expected to attend full day (5 or more hours)

c.APD-Absent (Part Day) child was absent, vendor was open, child was authorized and expected to attend part day (less than 5 hours)

d.HFD- Holiday (Full Day) vendor was closed, vendor charges parents for days they are closed due to state paid holiday as per schedule. Vendor is authorized to be paid for Holidays.

e.HPD – Holiday (Part Day) vendor was closed, vendor charges parents for days they are closed due to holiday, and the child is authorized for Part Day care. Vendor is authorized to be paid for Holidays.

8.Parent and Vendor Signatures and Dates

a.Attendance reports must have both a parent and a vendor signature in blue ink. Lack of both parent and vendor signatures may results in rejection of the attention report. If parent is not available to sign the form after multiple attempts, include “parent not available to sign” on the signature parent line. This should be a rare accordance. All attendance must be received within 30-days of the service period.

b.Asking a parent to sign blank attendance forms will result in the vendor’s termination from program participation

9.Maintain a copy of the completed manual attendance reports for your records. Allow 7-10 business days for regular mail to ensure that attendance is received by VDSS within 30-days of the service period.

Mail completed attendance report to: Virginia Department of Social Services Attn: Vendor Services Unit

PO BOX 1997

Richmond, VA 23218-1997

Rev. 08.27.19

Form Characteristics

Fact Name Description
Service Period The report covers specific service periods, either the 1st-15th or the 16th-end of the month.
Vendor Information Includes details such as Vendor ID, name, and address, which are essential for proper identification.
Manual Attendance Reasons Only valid reasons, like issues with VA-ECC cards, POS/IVR problems, or retroactive authorization, will be processed.
Submission Deadline Attendance must be submitted to VDSS within 30 days of the service period to be accepted for payment.
Documentation Requirement A valid reason code and appropriate documentation must be included; otherwise, the form will not be processed.
Signature Requirement Both the parent and vendor must sign the report in blue ink. Missing signatures could lead to rejection.
Record Keeping Each vendor should retain a copy of all completed attendance forms for their records, as originals won't be returned.

Guidelines on Utilizing Va Ecc Vendor Attendance Report

Completing the VA ECC Vendor Attendance Report form is essential for proper documentation of attendance. It ensures that all necessary information is accurately recorded and submitted on time to avoid delays in payments. Follow these steps to fill out the form efficiently and ensure your attendance records are processed smoothly.

  1. Service Period: Indicate the start and end dates of the service period. This should be either from the 1st to the 15th or from the 16th to the end of the month. Only include the specific dates for attendance submission.
  2. Vendor Information: Fill in your vendor details:
    • Vendor ID: Input your 9-digit Vendor ID from the Purchase of Service Order.
    • Vendor Name: Write the name of your business.
    • Vendor Address: Enter the street address of where care is provided.
    • City, State, ZIP: Fill in the city, state, and ZIP code of the vendor address.
    • Administrator: Specify the name of the child care director or authorized contact.
    • Vendor Phone: Provide the phone number for the child care.
  3. Parent Information: Complete the details regarding the parent or guardian:
    • Case Number: Include the 9-digit case number from your Purchase of Service Order.
    • Parent Name: List the first and last name of the parent or guardian.
    • Parent Address: Provide the street address of the parent or guardian.
    • City, State, ZIP: Enter the city, state, and ZIP code for the parent address.
  4. Child's Information: Fill out details about the child:
    • Child Client ID: Enter the 10-digit child client ID from the Purchase of Service Order.
    • Child’s Name: Include the first and last name of the child.
  5. Manual Attendance Reason: Choose a valid reason for manual attendance and provide any required additional information.
  6. Attendance Report Details: Record attendance specifics:
    • Date: Enter each date for the service period.
    • Day: Specify the day of the week for each attendance date.
    • Code: Input a 3-letter attendance code (ATT, AFD, APD, HFD, HPD).
    • Time In: Write the exact time the care started (AM/PM).
    • Time Out: Write the exact time the care ended (AM/PM).
    • Hours: Calculate and enter the total hours and minutes for each day attended.
  7. Signatures: Ensure both the parent and vendor sign and date the report in blue ink. If the parent cannot sign after multiple attempts, note "parent not available to sign" on the parent line.
  8. Copy for Records: Make copies of the completed report for your records before mailing the original to the Virginia Department of Social Services.
  9. Mailing: Send the completed report to:
    • Virginia Department of Social Services
    • Attn: Vendor Services Unit
    • PO BOX 1997
    • Richmond, VA 23218-1997

Ensure that you submit the form within 30 days of the service period to facilitate timely processing and payment. Keeping organized records will assist you greatly throughout this process.

What You Should Know About This Form

What is the purpose of the VA ECC Vendor Attendance Report form?

The VA ECC Vendor Attendance Report form is designed to document attendance for children receiving care from approved vendors under the Virginia Department of Social Services (VDSS). This report is crucial for ensuring vendors are reimbursed for the services they provide. Accurate completion of the form is essential to avoid any delays in payment. Each section of the report must be filled out completely and correctly to comply with VDSS requirements.

What should I do if my manual attendance submission is not processed?

If your manual attendance submission is not processed, first review the reasons for rejection. Common issues include missing valid reason codes, incomplete forms, or lack of required documentation. Remember that attendance reports must be submitted to VDSS within 30 days of the service period. If you have not received payment and believe your report was completed correctly, you should contact VDSS for clarification and assistance.

What are the valid reasons for submitting manual attendance?

There are three valid reasons for submitting manual attendance: 1) Issues with the Point of Service (POS) system, such as unresolved error messages; 2) Parents or families not issued a VA-ECC swipe card; and 3) Retroactive authorization, which occurs when a Purchase of Service Order has an effective date prior to the previous eight days. It is important to include all required documentation related to these reasons, as submissions without valid justification will not be processed for payment.

What information is required when filling out the form?

When filling out the VA ECC Vendor Attendance Report form, you must provide detailed information about the service period, vendor, parent, and child. Essential details include the Vendor ID, Vendor Name, Case Number, Child Client ID, and attendance details such as time in and out. Additionally, both the parent and vendor must sign the form, confirming accuracy. It is advisable to keep a copy of each completed form for your records to ensure you have a reference if needed in the future.

Common mistakes

Filling out the VA ECC Vendor Attendance Report form requires attention to detail. Many people struggle with specific aspects of the form, which can lead to complications in processing. One common mistake is failing to include the correct service period dates. Individuals must only submit attendance for the designated service period. Full months should not be included unless necessary. Attention to detail in this section is crucial, as errors can delay payment.

Another frequent error involves vendor information. It is important to ensure that the Vendor ID and Vendor Name are accurate. Using an incorrect 9-digit Vendor ID can result in immediate rejection of the form. Similarly, not providing a complete address may obscure important information needed for processing. Each of these details is vital for effective communication between the vendor and the state agencies.

Missing the inclusion of a valid reason code is also a significant mistake. The reasons for submitting manual attendance are specifically outlined in the form. Failing to select a legitimate reason will lead to rejection of the report. This includes providing documentation for reasons such as a damaged POS/IVR or card issues. It is essential to read the instructions thoroughly before completion.

Many vendors also overlook the necessity of including both parent and vendor signatures. Both signatures must be present in blue ink for the attendance report to be accepted. In cases where the parent is unavailable to sign, it should be noted clearly on the signature line. Neglecting this can complicate the situation and could even result in termination from program participation.

Errors in entering attendance report details can be detrimental. Incorrectly noting the times for each care session, such as mixing up AM and PM, can show discrepancies in services rendered. It's crucial to carefully check time entries to ensure they reflect the actual time attended. Also, missing dates or selecting incorrect attendance codes will lead to processing delays.

Lastly, many forget to maintain a copy of all completed attendance forms. This becomes an issue when verification is required later on. Keeping records of submissions protects vendors and ensures compliance with state rules regarding the retention of documentation. A simple act of filing can save a lot of trouble and confusion down the line.

By being mindful of these common mistakes, vendors can enhance the efficiency of their submissions and ensure a smoother process with Virginia's Department of Social Services. Taking time to double-check the form can lead to successful claims and timely payments.

Documents used along the form

The VA ECC Vendor Attendance Report form serves as a critical tool for documenting attendance in child care services. Several other forms and documents complement this report, ensuring a smooth process for vendors and parents alike. Here’s a brief overview of these essential documents.

  • Purchase of Service Order (POS): This document provides authorization for services between the vendor and the parent. It outlines the specific terms of care, including the type of services, effective dates, and payment arrangements.
  • VA-ECC Card Application: Families can use this form to apply for a VA-ECC card, which allows for easier tracking of attendance through the Point of Service (POS) system. Accurate completion is vital for timely card issuance.
  • Pos/IVR Error Report: When vendors encounter issues with the POS or IVR systems, this report helps document technical errors. It requires specific details such as the error message and the times reported.
  • Attendance Tracking Sheet: This internal document allows vendors to track daily attendance for each child under their care. It serves as a useful reference for completing the official attendance report.
  • Client Authorization Form: Necessary for obtaining permission from parents to release their child's information to the vendor. Proper authorization ensures compliance with privacy regulations.
  • Billing Statement: Vendors must issue monthly billing statements to parents detailing care provided and charges incurred. This statement supports the financial aspects of service provision and enhances transparency.
  • Feedback and Grievance Form: This document allows parents to provide feedback or file a complaint regarding services. Managing concerns effectively can improve service delivery and strengthen vendor-parent relationships.

These forms are integral to the overall process of providing quality child care services while ensuring compliance with regulations. Having them organized and completed accurately can save time and reduce errors down the line, benefiting everyone involved in the care process.

Similar forms

  • Provider Payment Documentation: Similar to the Vendor Attendance Report, this document captures the attendance and payment details for services rendered by a provider. Both forms require key information like dates, service details, and signatures to validate the claim.

  • Child Care Attendance Log: This document tracks attendance records for children under care. Just like the Vendor Attendance Report, it needs to include specific dates, names, and the attendance status of each child.

  • Service Provider Billing Invoice: Both documents facilitate the payment process for services. An invoice provides an itemized list of services provided, often requiring similar information such as dates and signatures to confirm receipt of the services.

  • Authorization for Services Form: This form is utilized to gain approval for services. It often includes a section for detailing attendance much like the VA-ECC Vendor Attendance Report, ensuring that all necessary information is captured for authorization.

  • Attendance Verification Form: Both forms serve to validate the presence of a child during care. They require documentation from parents and providers, ensuring accurate records are maintained for services rendered.

  • Monthly Service Report: This document summarizes all services and attendance records for a month, similar to the attendance report which focuses on specific service periods. Each requires clear documentation to confirm services rendered during that time frame.

  • Emergency Care Attendance Record: This form tracks attendance specifically for emergency care services, incorporating elements like date and time similar to the vendor attendance report.

  • Annual Attendance Summary: Similar in purpose, this summary compiles attendance data over an entire year, similar to the VA-ECC report, which collects data over specific service periods.

  • Client Service Agreement: This document outlines the agreement between the client and provider and includes stipulations regarding attendance reporting, mirroring the need for accurate records in the Vendor Attendance Report.

  • Renewal Application for Services: This form is used when seeking continuation of services and may require documentation of previous attendance, much like the required validation in the Vendor Attendance Report.

Dos and Don'ts

When completing the VA ECC Vendor Attendance Report form, it is crucial to follow specific guidelines to ensure the process goes smoothly. Below is a list of helpful tips.

  • Do: Read the entire form thoroughly before filling it out.
  • Do: Include the correct service period dates; only list the necessary dates for attendance.
  • Do: Provide valid documentation for any manual attendance claims.
  • Do: Ensure both the parent and vendor sign the form with blue ink.
  • Do: Keep a copy of the completed form for your records.
  • Don't: Ignore the details about valid reasons for submitting manual attendance.
  • Don't: Submit attendance without the required parent signature, which may result in rejection.
  • Don't: Fill out the form with a parent signature if they are not available; state this fact on the form instead.
  • Don't: Use the entire service period if only specific dates are needed.
  • Don't: Send the original form without making copies, as originals will not be returned.

Misconceptions

Understanding the VA ECC Vendor Attendance Report form can be complicated due to several misconceptions that circulate among vendors and parents. Here are some common misunderstandings:

  • Misconception 1: All attendance reports will be processed, regardless of the submission reasons.
  • In reality, only attendance reports with valid reason codes and proper documentation will be accepted for processing. Submissions without valid reasons will be rejected.

  • Misconception 2: Attendance can be submitted anytime without a deadline.
  • Attendance must be submitted within 30 days of the service period. Late submissions will not be processed or paid.

  • Misconception 3: Vendors should keep copies of attendance reports until they receive payment.
  • While it is crucial for vendors to keep copies of attendance forms, they should remember that the original forms will not be returned.

  • Misconception 4: Any manual attendance report can be used, no matter the circumstances.
  • This is incorrect. Manual attendance can only be submitted for specific, valid reasons such as issues with the VA-ECC card, POS/IVR problems, or retroactive authorization.

  • Misconception 5: Parents can request a manual submission if they forget to report attendance.
  • Parents must utilize the POS or IVR systems for attendance reporting. Forgetting to record attendance does not constitute a valid reason for manual submissions.

  • Misconception 6: It’s acceptable to submit reports without both signatures.
  • Attendance reports require signatures from both the parent and the vendor in blue ink. Missing signatures can lead to rejection of the report.

  • Misconception 7: Any form of documentation is sufficient for manual attendance submission.
  • Only specific documentation is accepted according to the valid reason codes. Each reason has distinct documentation requirements that must be met.

  • Misconception 8: Parents must have a VA-ECC card to report attendance manually.
  • While not having a VA-ECC card can be a valid reason for manual attendance, parents who have received their card but do not use the POS or IVR systems cannot submit for manual attendance.

Clarifying these misconceptions can lead to smoother processes for all parties involved. Understanding the requirements of the VA ECC Vendor Attendance Report form is essential for proper compliance and timely payment.

Key takeaways

Filling out the VA-ECC Vendor Attendance Report form accurately is vital for ensuring timely payment and compliance. Here are some key points to keep in mind:

  • Understand the Service Period: Clearly indicate the start and end date of the service period for which you are submitting attendance.
  • Vendor Information is Essential: Enter your Vendor ID, name, address, and contact information correctly to avoid processing delays.
  • Document Parent and Child Details: Include the case number, parent’s name, address, and the child’s name and client ID. Each piece of information is important for verification.
  • Valid Reasons Required: You must select a valid reason for manual attendance submission, such as issues with the VA-ECC card, POS/IVR errors, or retroactive authorization.
  • Provide Complete Attendance Data: Fill in each day of attendance with specific codes and times. Each entry must be accurate, or it could lead to rejection.
  • Signatures Matter: Both the parent and vendor must sign the form. If the parent cannot sign, document this on the form. Missing signatures lead to rejection.
  • Submission Timing is Critical: Manual attendance must reach the Virginia Department of Social Services (VDSS) within 30 days following the service period to be processed.
  • Keep Copies: Maintain a copy of the completed attendance report for your records before sending the original. Originals are not returned.
  • Mailing Information: Send the completed report to the appropriate address as detailed in the instructions to ensure it is processed correctly.

Following these steps will help streamline the process and improve the likelihood of prompt payment for services rendered. Attention to detail, careful documentation, and timely submission are the keys to success with the VA-ECC Vendor Attendance Report form.