(A)Chapters
5101:6-1 to 5101:6-9 of the Administrative Code describe the hearing and appeal
rights and procedures applicable to family services program benefits, pursuant
to section 5101.35 of the Revised Code, child support services, pursuant to
section 3125.25 of the Revised Code, and the medicaid program, pursuant to
section 5160.31 of the Revised Code.
(B)All rules
relating to the right to a hearing and limitations on that right shall be
liberally construed in favor of the right to a hearing.
(C)When it appears
that an individual may not be able to understand or exercise the right to a
state hearing due to factors such as limited mental capability or language
barriers, the local agency shall assist the individual in naming a responsible
party (guardian, relative, legal aid attorney, etc.) to act as authorized
representative and receive a copy of notice in addition to the original to the
individual. This requirement applies to notice at the time of application and
to all subsequent hearing notices. A referral to social services for assistance
in naming a responsible party may be appropriate.
(D)In counting the
days contained in a timely appeal specified in Chapters 5101:6-1 to 5101:6-9 of
the Administrative Code, the date on which the notice was mailed, sent by
electronic means, or otherwise provided is not counted.
If the last day of the time period fallsfor a timely appeal occurs on a Saturday, Sunday, or
state or federal legal holiday, then the time period is extended to include the
next workday.
(E)Local agencies
may modify the format, but not the content, of state hearing notices mandated
in Chapters 5101:6-1 to 5101:6-9 of the Administrative Code to accommodate
electronic generation of the notice. All such modifications shall be approved
by the bureau of state hearings.
(F)Definitions
As used in Chapters 5101:6-1 to 5101:6-9 of the Administrative
Code, the following terms shall have the following meanings unless otherwise
specified.
(1)"Agency"
shall refer to either the local agency, ODJFS, Ohio department of medicaid or
it's designee.
(2)"Appellant"
means an individual who is an applicant, participant, former participant,
recipient, or former recipient of a family services program and is entitled by
federal or state law to a hearing regarding a decision or order of the agency
that administers the program.
(3)"Authorized
representative" means an individual, eighteen years or older, who stands
in the place of the appellant. The authorized representative may include a
legal entity assisting in the application process. ODJFS may request proper
identification from the authorized representative.
(4)"Benefits"
shall refer to benefits under any or all of the
following programs:
(a)Public
assistance.
(i)Refugee
resettlement program.
(ii)Disability
assistance.
(iii)OWF cash
assistance.
(iv)Prevention,
retention and contingency (PRC) program.
(v)Medicaid.
(vi)Temporary
assistance to needy families (TANF) funded programs administered by local
agencies or agents of ODJFS or the CDJFS.
(b)Supplemental
nutrition assistance program (SNAP).
(c)Social
services.
(d)State and
federal adoption assistance programs.
(5)"Day"
shall refer to a twenty-four hourtwenty-four-hour calendar day unless otherwise
indicated.
(6)"Electronic"
has the same meaning as in section 1306.01 of the Revised Code.
(7)"Electronic
equivalent" means an electronic version of an ODJFS form or application
which has not been modified in any way other than format prior to completion
and submission of that form to the administrative agency. The administrative
agency is not required to accept forms that are materially altered.
(8)"Electronic
signature" or "e-sign" has the same meaning as in section
1306.01 of the Revised Code.
(9)"Eligibility
system" means a computer program determining benefit levels or amounts for
individuals or families. Eligibility systems may also generate paper or
electronic applications, forms, and notices related to the benefit
determination or an action taken on the case of an individual or family.
(10)"Local
agency" shall refer to any or all of the
following:
(a)The county
department of job and family services (CDJFS), pursuant to section 5101.35 of
the Revised Code.
(b)The county
public children services agency (PCSA), pursuant to section 5101.35 of the
Revised Code.
(c)The county
child support enforcement agency (CSEA), pursuant to section 3125.25 of the
Revised Code.
(d)A private or
government entity administering, in whole or in part, a family services program
benefit on behalf of ODJFS, a CDJFS, a PCSA, or as otherwise designated under
law.
(11)"Social
services" shall refer to any or all of the following:
(a)Learning
earning and parenting (LEAP), supportive services, and support services
provided to participants in a work activity under the Ohio works first (OWF)
program or the SNAP employment and training program.
(b)Publicly funded
child care services provided pursuant to Chapter 5101:2-16 of the
Administrative Code.
(c)Title XX
services provided pursuant to Chapter 5101:2-25 of the Administrative Code.
(12)"Virtual" refers to a hearing
that is scheduled through an online platform and attended via an online link
with a computer or mobile device, or by telephone using an indentification
number that is unique to the hearing.
Effective: 4/1/2023
Five Year Review (FYR) Dates: 11/30/2022 and 04/01/2028
Certification: CERTIFIED ELECTRONICALLY
Date: 03/16/2023
Promulgated Under: 119.03
Statutory Authority: 3125.25, 5101.35
Rule Amplifies: 3125.25, 5101.35, 5160.31, 5160.011
Prior Effective Dates: 09/01/1976, 10/01/1978, 12/01/1979,
04/01/1980, 10/01/1981, 05/01/1982, 10/01/1982, 04/01/1983, 07/01/1983,
11/01/1983 (Temp.), 12/01/1983, 03/01/1984 (Temp.), 06/01/1984, 10/03/1984
(Emer.), 12/22/1984, 07/01/1985 (Emer.), 09/29/1985, 04/01/1986, 04/01/1987,
12/01/1987, 05/01/1988, 11/01/1988, 11/01/1989 (Emer.), 01/29/1990, 10/01/1991,
06/01/1993, 10/01/1997 (Emer.), 12/30/1997, 04/01/2000, 06/01/2003, 09/01/2008,
08/01/2010, 02/28/2014, 03/01/2019