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Ohio Laws and Rules
(A) Foster care maintenance (FCM) reimbursements for children placed in licensed/certified/approved foster homes, relative homes as defined in paragraph (C) of rule 5101:2-47-17 of the Administrative Code, or prefinalized adoptive homes affiliated with a public children services agency(PCSA) must be authorized on the family and children services information system (FACSIS) or statewide automated child welfare information system (SACWIS), if applicable. The reimbursement shall be in the form of a warrant made to the Title IV-E agency having legal responsibility for the care and placement of the child.
(B) FCM for children placed in licensed/certified/approved children’s residential centers (CRCs), group homes, purchased foster homes or maternity homes must be authorized through the JFS 01925 “Monthly FCM Facility Invoice” (rev.8/2002) process or SACWIS, if applicable. The reimbursement shall be in the form of a warrant made to the Title IV-E agency having legal responsibility for the care and placement of the child.
(C) Any change or discontinuation of reimbursement made for a child placed in substitute care, as a result of a change in the child’s circumstances, must be made as soon as the Title IV-E agency becomes aware of the change.
(D) FCM difficulty of care reimbursement for special needs, exceptional needs, intensive needs, and children placed in emergency foster homes as described in rule 5101:2-47-18 of the Administrative Code must be authorized through FACSIS or SACWIS if applicable.
(E) Expenses for foster home, emergency foster home, clothing, difficulty of care, graduation, personal incidentals, medical card issuance, and reimbursable employment-related child care as outlined in rules 5101:2-47-17, 5101:2-47-18, and 5101:2-47-19 of the Administrative Code, for children placed in foster homes, relative homes, or prefinalized adoptive homes, shall be authorized as auxiliary payments through completion and processing of the JFS 01659”Title IV-E Auxiliary Payment Authorization” (rev.1/2002) or SACWIS, if applicable.
(F) Expenses for clothing, graduation and personal incidentals, as described in rule 5101:2-47-19 of the Administrative Code, for children placed in CRCs, group homes, purchased foster homes or maternity homes will be reimbursed as auxiliary payments through the JFS 01925”Monthly FCM Facility Invoice” (rev. 8/2002) process or SACWIS, if applicable.
(G) An underpayment for FCM occurs when the eligible Title IV-E agency does not receive a reimbursement to which it is entitled or receives less than the amount to which it is entitled.
(H) The Title IV-E agency shall take immediate action to adjust the underpayment through the JFS 01659 or the JFS 01925 or SACWIS, if applicable as soon as information is received which affects reimbursement for FCM effective on the actual day of the month the underpayment occurred.
(I) An overpayment occurs when a Title IV-E agency receives a reimbursement or an amount of reimbursement to which it is not entitled.
(J) An overpayment for FCM can occur as a result of either of the following reasons:
(1) The reimbursement made was in excess of the allowable amount; or
(2) The child for whom an FCM reimbursement was made was not eligible for such reimbursement during the month for which reimbursement was made.
(K) The Title IV-E agency is responsible for reviewing, at the request of ODJFS, reimbursement records for Title IV-E cases to determine if an overpayment has occurred.
(L) The Title IV-E agency shall take immediate action to terminate or adjust the overpayment as soon as information is received which affects reimbursement for FCM effective on the actual day of the month the overpayment occurred.
(M) A copy of the documentation evidencing repayment of any identified Title IV-E FCM overpayment must be retained in the Title IV-E case record.
(N) Any adverse action taken regarding the financial status of a FCM case must be made according to the provisions set forth in Chapters 5101:6-1 to 5101:6-9 and rule 5101:6-3-01 of the Administrative Code.
(O) The Title IV-E agency must refer all cases in which there is probable cause to believe that the crime of fraud has been committed to the county prosecutor. The determination of probable cause is the responsibility of the Title IV-E agency director or his designee and the county prosecuting attorney.
Effective: 04/23/2007
R.C. 119.032 review dates: 01/10/2007 and 04/01/2012
Promulgated Under: 119.03
Statutory Authority: 5103.03, 5101.141
Rule Amplifies: 5103.03, 5153.16, 5101.141
Prior Effective Dates: 1/1/83, 1/1/85 (Emer.), 4/1/85, 5/22/85 Emer.), 8/12/85, 4/1/86 (Emer.), 7/1/86, 7/2/87, 9/30/87, (Emer.), 12/27/87, 4/15/88 (Emer.), 7/1/88, 9/1/88, 9/1/92, 5/1/98