1. PROVIDER NAME AND ADDRESS
   Your name and address is preprinted.

   If your address is different and your facility is a center, family home or group home you should contact your licensing consultant to have it changed in our records.

   If you are a day care aide or relative care provider, contact your local DHS office.

   If you are a relative care provider and receive your payments by direct deposit (EFT), call 1-888-734-9749.

2. BILLING/ATTENDANCE PERIOD DATES
   The first and last dates of the pay period the billing covers. This is preprinted.

3. PAY PERIOD NUMBER
   The number of the pay period that corresponds to the billing dates. This is preprinted. A separate DHS-1O5 is used for each pay period. To bill for a prior period, return to the Pay Period Select Screen and select that pay period.

4. PAGE NUMBER
   The preprinted page number of the form.

5. PROVIDER ID NUMBER
   The 7 digit number assigned to you by DHS to be used for billing purposes. This is preprinted. You enter this number when you log in on the initial screen.

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   CHILDREN

   Only authorized children appear on this form. Added children appear the day after the authorization is entered by the DHS office.

   Tip - If you need to bill for a child who does not appear on the invoice today, you can wait until the child appears and then submit your billing to DHS.

6. CHILD'S NAME
   The preprinted full name of each child.

7. CHILD'S ID NUMBER
   The child's preprinted 8-digit identification (ID) number. See the Child Development and Care Certificate/Notice of Authorization (DHS-198).

8. CASE NUMBER
   The preprinted case number assigned to the child's family. See the DHS-198.

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   DAILY HOURS
   
   NOTE: Totals change after Update is selected.

9. CHILD CARE
   In the box under each day enter the number of hours of care that were actually provided. Include parts of hours. (Example: 3.5.) This may be more or less than the number of hours authorized on the DHS-198. Leave blank any days the child did not attend. Enter only those hours of care that you are billing to DHS.

10. ABSENCES/HOLIDAYS
    State of Michigan holidays and absences due to the child's illness can be billed if you charge the general public (all customers) for the holiday or absences due to illness. DHS cannot pay, and you may not bill DHS, for any other absences, including absences for "no shows" or "holding a spot" for a child.

    In the box under the day that the holiday or the absence due to the child's illness occurred, enter the number of hours being billed. Include parts of hours. (Example: 3.5) You may not enter more hours than the child would have normally been in care that day.

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11. TOTALS: HOURS BILLED

    Tip - After adding or changing daily hours, select the "Update" button to see the new totals. The computer does the math for you.

    a. CHILD CARE
    This is calculated by the computer. The computer adds the hours of care for all of the days in the row labeled "Child Care". It rounds up if there is a part of an hour reflected in the total. (Example: 44.5 is rounded up to 45.) You may only bill for care that was actually provided. This may be more or less than the number of hours authorized.

    b. ABSENCES/HOLIDAYS
    This is also calculated by the computer. It adds the hours for all of the days in the row labeled "Absences/Holidays". It rounds up if there is a part of an hour reflected in the total. (Example: 8.5 is rounded up to 9.)

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12. CHARGE FOR CARE

    Type in the total amount, rounded to the nearest dollar, for the total hours you are billing DHS for this two-week pay period for the care of this child. No cents are to be entered, including zeros. (Example: Your charge for full time care is $80.20 per week, and this child was in care full time for both weeks. Enter 160 in this box.)

    Tip - This is the amount you are charging for the child for the whole two-week pay period. A common mistake is to enter the hourly charge instead of the full, two-week charge. You must enter the full, two-week charge before sending your billing to DHS.

Use the buttons in the bottom, right corner of the form to move between screens within the billing program.

Tip - Do not use other ways to move between pages, like the "back" or "forward" functions on your web browser. You might lose some of your work if you do that.

Update leaves you on the same page, but fills in the child care and absences/holidays totals. It also checks the numbers you've entered and saves your work.
Update Exit takes you out of the billing program. It saves your work and checks what you've entered for errors.
First Page takes you to the first page of the billing you are working on. It also saves your work and checks what you've entered for errors.
Last Page takes you to the last page of the billing you are working on. It also saves your work and checks what you've entered for errors.
Previous Page takes you to the page before the page you are on. It also saves your work and checks what you've entered for errors.
Next Page takes you to the page after the page you are on. It also saves your work and checks what you've entered for errors.
Home Screen takes you to the screen where you pick the pay period you want to work on. It also saves your work and checks what you've entered for errors.
Help takes you to this help document.

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Selecting any of the navigation buttons or the update button saves your work.

Tip - If you close your browser or turn off your computer before selecting a navigation button, your work on the current page will not be saved. Similarly, if your Internet connection is interrupted your work will not be saved. It is a good idea to select the update button frequently while you are working. That way, the work you did up to that point will be saved in the event of a problem.

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When you are completely done entering your bill information, including Charge for Care, go to the last page of your bill and select "Mail to DHS". Notice the check box to the left of the button. Select this check box before you select the "Mail to DHS" button to confirm that you really are done and are ready to send your billing to DHS.

You can only select "Mail to DHS" if you are on the last page of your bill. This is to make sure that you realize how many pages you have. Please check over each page before you select "Mail to DHS".

If you "mail" an Internet bill to DHS by midnight on the first Thursday after the end of the pay period, payment is issued the following week. Holiday schedules sometimes change the deadline. See the Provider Payment Schedules for details.

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If mistakes are made typing in numbers, messages appear in a separate area at the top of the screen. The messages only appear after you select "Update" or one of the other buttons on the page.

Here are the messages that might appear, and possible causes:

• Message: "You may not bill DHS for more than 24 hours in a day. The sum of 'Care Hours' and 'Absence Hours' for any given day cannot exceed 24 hours. Hours entered must be numeric."

  What to Do: First check to see if you typed in something other than a number. If this looks okay, then check to be sure that the Child Care or Absences/Holidays (or the two added together) are not more than 24 hours. See the rules for the Daily Hours entries.

  Tip - If you click on the error message, it will move your cursor to the place where the mistake is. To get rid of the error message, fix the mistake and select the "Update" button.

• Message: "Charge for Care amount must be numeric and not contain decimals."

  What to Do: Check to see if you typed in something other than a number. Also make sure that the number does not have a decimal point in it. See the rules for Charge for Care.

• Message: "Please ensure that you confirm 'Mail to DHS' by selecting the check box next to the 'Mail to DHS' button."

  What to Do: There is a check box to the left of the "Mail to DHS" button. Before you select the "Mail to DHS" button, click on the check box. An "X" should show in the box. Then click the "Mail to DHS" button. The check box was added to make sure you don't click the "Mail to DHS" button by mistake.

• Message: "If you entered hours OR charge for a child, you must enter BOTH before you mail to DHS. If you intended to skip a child, the child's hours and charge for care must be blank."

  What to Do: Wherever you entered hours for a child, you must also enter the biweekly Charge for Care. You will also receive this error message if charge for care is entered and you forgot to enter hours for the child . Check all pages for these entries. Then go to the last page and select "Mail to DHS" again.

• Message: "You must go to the last page in order to Mail to DHS."

  What to Do: Go to the last page and select "Mail to DHS" again. Be sure you are finished with all the pages first. You cannot undo mailing the bill to DHS.