Each time the child has been returned after intermittent alternate care (IAC) has been provided, the IAC provider is responsible for completing the middle portion of Form 2084 [sic, broken link]Word Document Declaration of Service Provided Foster Parent Intermittent Alternate Care (IAC).
The provider then forwards the completed and signed form to either the FAD worker or another regional designee.
The FAD worker or the designee must forward the fully signed and completed Form 2084 to the regional contract staff for payment.
Regional contract staff makes the payment directly to the IAC provider at the designated rates.
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