5101:12-1-56 Assigned medical support collections incentives.

(A) The following definitions apply to this rule:

(1) "Assigned medical support" means the medicaid applicant, recipient, or participant has assigned the right to collect and retain medical support from an obligor or medical reimbursement from a third party to the Ohio department of job and family services (ODJFS).

(2) "Third party" means any private medical insurer, individual, entity, or public or private medical program that is or may be liable to pay all or part of the cost of injury, disease, or disability on behalf of a medicaid applicant, recipient, or participant.

(B) When the CSEA is made aware of an accident or injury involving the medicaid applicant, recipient, or participant, the CSEA shall complete the JFS 06613, "Accident Injury Insurance Information" (rev. 6/2009), send it to ODJFS, and send a copy to the county department of job and family services (CDJFS).

(C) When assigned medical support and assigned third party collections are received:

(1) The child support enforcement agency (CSEA) is entitled to have fifteen percent of the total collection; and

(2) ODJFS is entitled to have eighty-five per cent of the total collection.

Effective: 05/01/2012
R.C. 119.032 review dates: 12/22/2011 and 12/01/2016
Promulgated Under: 119.03
Statutory Authority: 3125.25
Rule Amplifies: 3125.03, 3125.25
Prior Effective Dates: 1/7/85, 8/1/86, 12/1/87, 12/20/88, 9/1/89, 8/1/90, 6/1/91, 11/1/91, 7/15/92, 4/1/93, 1/1/98, 12/20/98, 7/1/02, 10/2/03, 1/1/07