Ohio Revised Code Search
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Section 5104.38 | Rules governing financial and administrative requirements for publicly funded child day-care.
...ial and administrative requirements for publicly funded child care and establishing all of the following: (A) Procedures and criteria to be used in making determinations of eligibility for publicly funded child care that give priority to children of families with lower incomes and procedures and criteria for eligibility for publicly funded protective child care or homeless child care. The rules shall specify the m... |
Section 5104.382 | No contracts to person against whom finding for recovery has been issued.
...tablishing criteria for eligibility for publicly funded child care, the director of children and youth may prescribe the amount, duration, and scope of benefits available as publicly funded child care. |
Section 5104.39 | Monitoring present and anticipated future expenditures for publicly funded child day-care.
...ure for monitoring the expenditures for publicly funded child care to ensure that expenditures do not exceed the available federal and state funds for publicly funded child care. The department of children and youth, with the assistance of the office of budget and management, shall monitor the anticipated future expenditures for publicly funded child care and shall compare those anticipated future expenditures to ava... |
Section 5104.40 | Implementation of rules.
...le adopted under this chapter regarding publicly funded child care until the later of thirty days after the effective date of the rule or thirty days after the county department receives notice of the rule if such notification is required under this chapter. |
Section 5104.41 | Homeless child care.
...etaker who are otherwise ineligible for publicly funded child care are eligible for homeless child care for the lesser of the following: (A) Not more than ninety days; (B) The period of time they reside in a facility providing emergency shelter for homeless families or the period of time in which the county department determines they are homeless. |
Section 5104.42 | Payment procedure for publicly funded child care.
...de establishing a payment procedure for publicly funded child care. (B) The director, by rule adopted in accordance with section 111.15 of the Revised Code, may establish a methodology for allocating the state and federal funds appropriated for publicly funded child care. |
Section 5104.43 | Deposits into public assistance fund.
...ource for child care services into the public assistance fund established under section 5101.161 of the Revised Code. |
Section 5104.44 | Effect of child support default on license or certificate.
...On receipt of a notice pursuant to section 3123.43 of the Revised Code, the department of children and youth shall comply with sections 3123.41 to 3123.50 of the Revised Code and any applicable rules adopted under section 3123.63 of the Revised Code with respect to a license or certificate issued pursuant to this chapter. |
Section 5104.50 | [Former R.C. 3301.90, renumbered by H.B. 33, 135th General Assembly, effective 1/1/2025] Early childhood advisory council.
...est, shall make copies available to the public. |
Section 5104.51 | Preschool program licensing.
...The department of children and youth shall license a preschool program pursuant to sections 3301.52 to 3301.59 of the Revised Code. |
Section 5104.52 | Kindergarten readiness assessment.
...dergarten readiness assessment shall be public records. (B) When the kindergarten readiness assessment has been completed, the department shall inform all school districts of its completion and the department shall make the kindergarten readiness assessment available to districts at no cost to the district. (C) School districts shall administer the kindergarten readiness assessment pursuant to section 3301.0715... |
Section 5104.99 | Penalty.
...(A) Whoever violates section 5104.02 of the Revised Code shall be punished as follows: (1) For each offense, the offender shall be fined not less than one hundred dollars nor more than five hundred dollars multiplied by the number of children receiving child care at the child care center or type A family child care home that either exceeds the number of children to which a type B family day-care home may provide c... |
Section 5107.01 | Legislative policy.
...(A) The Ohio general assembly hereby states the following beliefs with regard to the Ohio works first program: (1) That the first priority for minor heads of household and adults participating in the program is to work, which includes keeping an employer's schedule and satisfying the employer's work requirements, and to develop marketable skills. (2) That many minor heads of household and adults participating in th... |
Section 5107.02 | Ohio works first program definitions.
...As used in this chapter: (A) "Adult" means an individual who is not a minor child. (B) "Assistance group" means a group of individuals treated as a unit for purposes of determining eligibility for and the amount of assistance provided under Ohio works first. (C) "Custodian" means an individual who has legal custody, as defined in section 2151.011 of the Revised Code, of a minor child or comparable status ove... |
Section 5107.03 | Administration of program.
...There is hereby established the Ohio works first program. The department of job and family services shall administer the program, as long as federal funds are provided for the program, in accordance with Title IV-A, federal regulations, state law, the Title IV-A state plan submitted to the United States secretary of health and human services under section 5101.80 of the Revised Code, amendments to the plan, and... |
Section 5107.04 | Sources of cash assistance payments.
...As used in this section, "cost-of-living adjustment" means the cost-of-living adjustment made by the United States commissioner of social security under 42 U.S.C. 415(i) for benefits provided under Title II of the "Social Security Act of 1935." The department of job and family services shall make all cash assistance payments for Ohio works first from funds appropriated for the Ohio works first program. The am... |
Section 5107.05 | Adoption of rules.
...The director of job and family services shall adopt rules to implement this chapter. The rules shall be consistent with Title IV-A, Title IV-D, federal regulations, state law, the Title IV-A state plan submitted to the United States secretary of health and human services under section 5101.80 of the Revised Code, amendments to the plan, and waivers granted by the United States secretary. Rules governing eligibility, ... |
Section 5107.10 | Time-limited cash assistance.
...ipate in Ohio works first even though a public children services agency removes the assistance group's minor children from the assistance group's home due to abuse, neglect, or dependency if the agency does both of the following: (a) Notifies the county department of job and family services at the time the agency removes the children that it believes the children will be able to return to the assistance group with... |
Section 5107.11 | Minor child's assistance group.
...(A) A specified relative of a minor child residing with the minor child is not required to be included in the minor child's assistance group. To the extent permitted by rules adopted under section 5107.05 of the Revised Code governing assistance group composition requirements and except as provided in division (B) of this section, the specified relative may choose to be included in the minor child's assistance group... |
Section 5107.12 | Application for participation by assistance group.
...An assistance group seeking to participate in the Ohio works first program shall apply to a county department of job and family services using an application containing information the director of job and family services requires pursuant to rules adopted under section 5107.05 of the Revised Code and any additional information the county department requires. If cash assistance under the program is to be paid by... |
Section 5107.121 | Information regarding eligibility redetermination.
...A county department of job and family services shall provide assistance groups applying for or undergoing a redetermination of eligibility for Ohio works first written and oral information about both of the following: (A) The availability of counseling and supportive services pursuant to division (B) of section 5107.71 of the Revised Code for members of the assistance group who have been subjected to domestic... |
Section 5107.14 | Written self-sufficiency contracts.
...e child support enforcement agency and public children services agency will provide to the assistance group pursuant to a plan of cooperation entered into under section 307.983 of the Revised Code; (8) Other provisions designed to assist the assistance group in achieving self sufficiency and personal responsibility; (9) Procedures for assessing whether responsibilities are being satisfied and whether the contr... |
Section 5107.16 | Sanctioning assistance group for noncompliance with contract.
...eligible for all of the following: (1) Publicly funded child care in accordance with division (A)(3) of section 5104.30 of the Revised Code; (2) Support services in accordance with section 5107.66 of the Revised Code; (3) To the extent permitted by the "Fair Labor Standards Act of 1938," 52 Stat. 1060, 29 U.S.C. 201, as amended, to participate in work activities, developmental activities, and alternative work ... |
Section 5107.161 | Written notice prior to sanction.
...Before a county department of job and family services sanctions an assistance group under section 5107.16 of the Revised Code, the state department of job and family services shall provide the assistance group written notice of the sanction in accordance with rules adopted under section 5107.05 of the Revised Code. The written notice shall include a provision printed in bold type face that informs the assistance grou... |
Section 5107.162 | Request for state hearing on sanction.
...If an assistance group requests a state hearing under division (B) of section 5101.35 of the Revised Code not later than fifteen calendar days after the department of job and family services mails the assistance group a written notice of a sanction under section 5107.161 of the Revised Code, a county department of job and family services shall postpone imposition of the sanction until the date a final decision is ren... |
Section 5165.29 | Cost of operating rights for relocated beds not allowable cost.
...If one or more medicaid-certified beds are relocated from one nursing facility to another nursing facility owned by a different person or government entity and the application for the certificate of need authorizing the relocation is filed with the director of health on or after July 1, 2005, amortization of the cost of acquiring operating rights for the relocated beds is not an allowable cost for the purpose o... |
Section 5165.30 | Related party costs to pass through.
...Except as provided in section 5165.17 of the Revised Code, the costs of goods, services, and facilities, furnished to a nursing facility provider by a related party are includable in the allowable costs of the provider at the reasonable cost to the related party. |
Section 5165.32 | Reduction in rate not permitted.
...The department of medicaid shall not reduce a nursing facility's medicaid payment rate determined under this chapter on the basis that the provider charges a lower rate to any resident who is not eligible for medicaid. |
Section 5165.33 | No payment for discharge date.
...No medicaid payment shall be made to a nursing facility provider for the day a medicaid recipient is discharged from the nursing facility. |
Section 5165.34 | Payments made to reserve bed during temporary absence.
...(A) The department of medicaid may make medicaid payments to a nursing facility provider under this chapter to reserve a bed for a recipient during a temporary absence under conditions prescribed by the department, to include hospitalization for an acute condition, visits with relatives and friends, and participation in therapeutic programs outside the facility, when the resident's plan of care provides for such abse... |
Section 5165.35 | Payments made to facility for services provided after involuntary termination.
...Medicaid payments may be made for nursing facility services provided not later than thirty days after the effective date of an involuntary termination of the nursing facility that provides the services if the services are provided to a medicaid recipient who is eligible for the services and resided in the nursing facility before the effective date of the involuntary termination. |
Section 5165.36 | Rebasing.
...Beginning with state fiscal year 2024, the department of medicaid shall conduct a rebasing at least once every five state fiscal years. When the department conducts the rebasing for a state fiscal year, it shall conduct the rebasing for only the direct care and tax cost centers. |
Section 5165.37 | Calculating rates and making payments.
...The department of medicaid shall make its best efforts each year to calculate nursing facilities' medicaid payment rates under this chapter in time to pay the rates by the fifteenth day of August of each state fiscal year. If the department is unable to calculate the rates so that they can be paid by that date, the department shall pay each provider the rate calculated for the provider's nursing facilities under this... |
Section 5165.38 | Reconsideration of rate.
...The medicaid director shall adopt rules under section 5165.02 of the Revised Code that establish a process under which a nursing facility provider, or a group or association of nursing facility providers, may seek reconsideration of medicaid payment rates established under this chapter, including a rate for direct care costs recalculated before the effective date of the rate as a result of an exception review o... |
Section 5165.40 | Adjustment of rates.
...If a nursing facility provider properly amends a cost report for the nursing facility under section 5165.107 of the Revised Code and the amended report shows that the provider received a lower medicaid payment rate under the original cost report than the provider was entitled to receive, the department of medicaid shall adjust the provider's rate for the nursing facility prospectively to reflect the corrected i... |
Section 5165.41 | Redetermination of rates.
...(A) The department of medicaid shall redetermine a provider's medicaid payment rate for a nursing facility using revised information if any of the following results in a determination that the provider received a higher medicaid payment rate for the nursing facility than the provider was entitled to receive: (1) The provider properly amends a cost report for the nursing facility under section 5165.107 of the Revised... |
Section 5165.42 | Additional penalties.
...In addition to the other penalties authorized by this chapter, the department of medicaid may impose the following penalties on a nursing facility provider: (A) If the provider does not furnish invoices or other documentation that the department requests during an audit within sixty days after the request, a fine of no more than the greater of the following: (1) One thousand dollars per audit; (2) Twenty-five per ... |
Section 5165.43 | Determination of interest rate.
...15, "selected interest rates," a weekly publication of the federal reserve board, or any successor publication. If statistical release H.15, or its successor, ceases to contain the bank prime rate information or ceases to be published, the department shall request a written statement of the average bank prime rate from the federal reserve bank of Cleveland or the federal reserve board. |
Section 5165.44 | Deductions.
...(A) Except as provided in division (B) of this section, the department of medicaid shall deduct the following from the next available medicaid payment the department makes to a nursing facility provider who continues to participate in medicaid: (1) Any amount the provider is required to refund, and any interest charged, under section 5165.41 of the Revised Code; (2) The amount of any penalty imposed on the pr... |
Section 5165.45 | Deposits to general revenue fund.
...The department of medicaid shall transmit to the treasurer of state for deposit in the general revenue fund amounts collected from the following: (A) Refunds required by, and interest charged under, section 5165.41 of the Revised Code; (B) Amounts collected from penalties imposed under section 5165.42 of the Revised Code. |
Section 5165.46 | Administrative adjudication.
...All of the following are subject to an adjudication conducted in accordance with Chapter 119. of the Revised Code: (A) Any audit disallowance that the department of medicaid makes as the result of an audit under section 5165.109 of the Revised Code; (B) Any adverse finding that results from an exception review of resident assessment data conducted for a nursing facility under section 5165.193 of the Revised ... |
Section 5165.47 | Claim for medicaid payment for service provided to nursing facility resident.
...No person, other than a nursing facility provider, shall submit a claim for medicaid payment for a service provided to a nursing facility resident if the service is included in a medicaid payment made to the nursing facility provider under this chapter or in the allowable expenses reported on a provider's cost report for a nursing facility. No nursing facility provider shall submit a separate claim for medicaid... |
Section 5165.48 | Nursing facility not required to submit Medicaid claim for Medicare cost-sharing expenses under certain circumstances.
...The provider of a nursing facility is not required to submit a claim to the department of medicaid regarding the medicare cost-sharing expenses of a resident of the nursing facility who, under federal law, is eligible to have the medicaid program pay for a part of the cost-sharing expenses if the provider determines that, under rules adopted under section 5165.02 of the Revised Code, the nursing facility would ... |
Section 5165.49 | Post-payment reviews of nursing facility Medicaid claims.
...The department of medicaid may conduct a post-payment review of a claim submitted by a nursing facility provider and paid by the medicaid program to determine whether the provider was overpaid. The department shall provide the provider a written summary of the review's results. The review's results are not subject to an adjudication under Chapter 119. of the Revised Code; however, the provider may request that ... |
Section 5165.50 | Notice of facility closure or withdrawal of participation.
...An exiting operator or owner of a nursing facility participating in the medicaid program shall provide the department of medicaid written notice of a facility closure or voluntary withdrawal of participation not less than ninety days before the effective date of the facility closure or voluntary withdrawal of participation. The written notice shall be provided to the department in accordance with the method spe... |
Section 5165.501 | Compliance with Social Security Act required.
...An operator shall comply with the "Social Security Act," section 1919(c)(2)(F), 42 U.S.C. 1396r(c)(2)(F) if the operator's nursing facility undergoes a voluntary withdrawal of participation. |
Section 5165.51 | Notice of change of operator.
...(A) An exiting operator or owner and entering operator shall provide the department of medicaid written notice of a change of operator if the nursing facility participates in the medicaid program and the entering operator seeks to continue the nursing facility's participation. The written notice shall be provided to the department in accordance with the method specified in rules authorized by section 5165.53 of the R... |
Section 5165.511 | Agreements with entering operators effective on date of change of operator.
...The department of medicaid may enter into a provider agreement with an entering operator that goes into effect at 12:01 a.m. on the effective date of the change of operator if all of the following requirements are met: (A) The department receives a properly completed written notice required by section 5165.51 of the Revised Code on or before the date required by that section. (B) The department receives from the... |
Section 5165.512 | Agreements with entering operators effective on a later date.
...(A) The department of medicaid may enter into a provider agreement with an entering operator that goes into effect at 12:01 a.m. on the date determined under division (B) of this section if all of the following are the case: (1) The department receives a properly completed written notice required by section 5165.51 of the Revised Code. (2) The department receives, from the entering operator and in accordance ... |
Section 5165.513 | Entering operator duties under provider agreement.
...(A) A provider that enters into a provider agreement with the department of medicaid under section 5165.511 or 5165.512 of the Revised Code shall do all of the following: (1) Comply with all applicable federal statutes and regulations; (2) Comply with section 5165.07 of the Revised Code and all other applicable state statutes and rules; (3) Subject to division (B) of this section, comply with all the terms and con... |