This letter transmits rule amendments to Chapter 5101:2-14 and 5101:2-16 rules. If any changes are made to these rules as a result of a public hearing or the JCARR hearing, you will be notified of the changes by an amended CCMTL. Otherwise, these rules will become effective January 1, 2001.

1.Rule 5101:2-16-41 entitled "Reimbursement ceilings for child care providers" is amended as follows: Appendix A has been revised to show the increase in reimbursement ceilings for certified and licensed providers. If necessary, the CDJFS shall amend its child care contracts with limited and professional type B providers and licensed providers in accordance with paragraphs (B) and (C) and appendix A of rule 5101:2-16-41.

2.Rule 5101:2-14-10 entitled "Provider qualifications for professional certification" is amended as follows: Allows a provider to be examined by a certified nurse practitioner and allows a certified nurse practitioner to sign the ODJFS 01280 "Provider Medical Statement." A certified nurse practitioner is a specific designation provided under Ohio law and does not include registered nurses or licensed practical nurses.

3.Rule 5101:2-14-28 entitled "Medical and dental emergency plan for professional providers" is amended as follows: 1) explains what is meant by a serious incident, injury, or illness; 2) clarifies when the ODJFS 01299 "Incident/Injury Report" should be used; 3) clarifies other circumstances that shall be reported to the CDJFS by the provider.

4.Rule 5101:2-14-40 entitled "Appeal review procedures for limited and professional certification" is amended as follows: 1) the phrase "and not subject to any further appeal" has been deleted from paragraph (P) because section 2506.01 of the Ohio Revised Code affords appeals to the common pleas court; 2) the county appeal review shall be recorded by an individual designated by the county director, and the recording shall be made part of the record.

5.Rule 5101:2-14-58 entitled "Provider responsibilities for limited certification" is amended as follows: 1) requires the provider to have a plan for medical and dental emergencies; 2) requires the limited provider to use the ODJFS 01297 "Emergency Transportation Authorization" form in the same manner that it is used by the professional provider; 3) clarifies when the ODJFS 01299 "Incident/Injury Report" should be used; 4) clarifies other circumstances that must be reported to the CDJFS by the provider; 5) allows a provider to be examined by a certified nurse practitioner and allows a certified nurse practitioner to sign the ODJFS 01280 "Provider Medical Statement."

6.Form ODHS 1299 "Incident Report" is amended and is now titled ODJFS 01299 "Incident/Injury Report". The rule language instructs home providers to submit this form to the CDJFS via fax or mail within three days of a serious injury/incident/illness. The CDJFS should keep a copy of the report in the provider's file and fax (614-728-6803) or mail a copy to ODJFS, Bureau of Child Care, 65 East State Street, 5th Floor, Columbus, Ohio 43215. The purpose of submitting the report is to allow ODJFS to track serious injuries/incidents/illnesses. In lieu of asking each CDJFS to data enter the information, ODJFS is instructing the CDJFS to submit the report to the Bureau of Child Care.

The obsolete rules and form shall be removed from the child care manual and replaced with the amended rules and form of the corresponding number. If you have any questions regarding these matters, please contact County Technical Support at (614) 466-7762.