173-6-04 Golden buckeye program: enrollment process for persons eighteen to fifty-nine years of age.

(A) Enrollment:

(1) If an Ohio resident who is eighteen to fifty-nine years of age who is also a person with a permanent and total disability chooses to apply for the golden buckeye program, the person shall visit a sign-up site to apply in person. Sign-up sites include most Ohio senior centers and libraries.

(2) To apply, the person shall do all of the following:

(a) Obtain an application from a sign-up site.

(b) Return the signed, completed application to the sign-up site.

(c) Provide the sign-up site with documentation verifying the person is eighteen to fifty-nine years of age.

(d) Provide the sign-up site with documentation verifying the person is a person with a disability (e.g., declaration of total disability from the bureau of workers' compensation or another state agency with authority to declare disabilities, medicare card, or acceptance letter from the social security administration or a public pension program).

(3) After a sign-up site receives an application from a person who is eighteen to fifty-nine years of age who is a person with a disability, it shall do the following:

(a) The sign-up site shall verify the application has been completed and signed.

(b) The sign-up site shall verify the person is eighteen to fifty-nine years of age by documenting the source of information (e.g., driver's license, state identification card) on the application.

(c) The sign-up site shall verify the person is a person with a disability by documenting the source of information (e.g., declaration of total disability from the bureau of workers' compensation or another state agency with authority to declare disabilities, medicare card, or acceptance letter from the social security administration or a public pension program) on the application.

(d) The sign-up site shall identify itself on the application.

(e) On the application, the sign-up site shall write the initials of the staff person at the site who processed the application.

(f) The sign-up site shall mail, email, or fax the signed, completed application to the processing location identified on the application less than one week after it receives the application.

(4) After ODA receives the application from a sign-up site, it shall do the following:

(a) Verify the sign-up site complied with paragraph (A)(3) of this rule.

(b) Issue a golden buckeye card to the eligible person.

(B) Signature:

(1) After ODA issues a golden buckeye card to a person, the cardholder shall sign the card. No card is valid until the cardholder signs it.

(2) After the cardholder signs his or her golden buckeye card, the card remains valid for the remaining life of the cardholder, unless ODA revokes the card due to a fraudulent application or fraudulent use of the card, or the program is discontinued.

(C) Transferability: A cardholder shall not transfer a golden buckeye card to any other person.

(D) Replacement card: If a golden buckeye card is lost, stolen, or damaged, a cardholder who is eighteen to fifty-nine years who is also a person with a permanent and total disability may contact ODA for a replacement card.

Replaces: 173-6-04

Effective: 1/1/2017
Five Year Review (FYR) Dates: 01/01/2022
Promulgated Under: 119.03
Statutory Authority: 173.01, 173.02, 173.06
Rule Amplifies: 173.06
Prior Effective Dates: 07/03/1980, 12/30/1995, 01/12/2001, 09/12/2002, (Emer.), 12/11/2002, 07/01/2007, 03/24/2011