SHMTL 11 (Appeal Rights, Hearing Procedures, and Hearing Decisions)
State Hearings Manual Transmittal Letter No. 11
September 23, 2008
TO: State Hearings Manual (SHM) Holders
FROM: Helen E. Jones-Kelley, Director
SUBJECT: Appeal Rights, Hearing Procedures, and Hearing Decisions

This letter transmits fifteen rules for state hearings conducted by the Bureau of State Hearings, Ohio Department of Job and Family Services (ODJFS), for applicants for, and recipients of, services from ODJFS programs. The rules were amended as part the five-year rule review under section 119.032 of the Revised Code. The amended rules are effective September 1, 2008.

Rule 5101:6-1-01, entitled "State hearings: general," sets forth definitions and general provisions for state hearings. There are no substantive changes to the rule. The change to the rule removes unnecessary, duplicate information.

Rule 5101:6-3-01, entitled "Grounds for requesting a state hearing," sets forth the reasons an applicant for, or recipient of, services from ODJS programs may request a state hearing. The changes to the rule remove limitations concerning adoptions across state and county jurisdictions and remove the prohibition of hearings for the determination of medically necessary inpatient hospital days by a medical review organization or hospital in-house utilization review committee.

Rule 5101:6-3-02, entitled "State hearing requests," sets forth requirements concerning the method for requesting state hearings and the time limit for request. The change to the rule adds the minor individual's parent or guardian as a person who may request a hearing and modifies the time limit contesting a resource assessment.

Rule 5101:6-4-01, entitled "Continuation of benefits when a state hearing is requested," sets forth the provisions when benefits cannot be reduced, suspended, or terminated when a request for a state hearing is made. The change in the rule shortens the amount of time to reinstate benefits.

Rule 5101:6-5-02, entitled "Postponement of the state hearing," sets forth the conditions under which an applicant for, or recipient of, services from ODJFS programs may request postponement of a state hearing. There are no substantive changes to the rule. The change to the rule clarifies the definition of "postponement."

Rule 5101:6-5-03, entitled "Denial and dismissal of state hearing request," sets forth the reasons a request for a state hearing may be denied or dismissed, the time frame during which a request may be denied or dismissed, and the requirements for proper notice of the denial or dismissal. A change to the rule removes the requirement that a request from an applicant for, or recipient of, services from ODJFS program, be submitted in writing. Under the amendment, the applicant or recipient may request the dismissal orally or in writing. There are no other substantive changes to the rule.

Rule 5101:6-6-01, entitled "Scheduling and attendance," sets forth requirements for the scheduling of state hearings, the location of state hearings, notification to the applicant for, or recipient of, services from ODJFS programs, and attendance at state hearings. The changes to the rule modify as to when an expedited hearing may occur, and expand the list for medical determination issues to include county board of mental retardation and developmental disabilities actions.

Rule 5101:6-6-02, entitled "Rights and responsibilities of the participants," sets forth the rights and responsibilities for the participants of a state hearing, including the representative for the local agency, the person making the request, and the hearing officer. There are no substantive changes to the rule.

Rule 5101:6-6-03, entitled "Tape recording the hearing," sets forth the requirements that a state hearing must be audiotaped and the time frame for retaining the recording, the procedure for the person who has requested the hearing to obtain a copy of the recording, and the procedures to follow, if at the time of an administrative appeal, it is determined that the recording is unavailable or unusable. There are no substantive changes to the rule. The title of the rule changed to "Recording the hearing."

Rule 5101:6-6-04, entitled "Telephone hearings and hearings involving participation by telephone," sets forth requirements for state hearings conducted by telephone, including notification to the person who has requested the hearing that the hearing will be conducted by telephone, and identifies documents and participants required for the hearing. There are no substantive changes to the rule. The title of the rule is changed to "Telephone hearings."

Rule 5101:6-7-01, entitled "State hearing decisions," sets forth the responsibilities of the hearing authority, the time frame in which hearing decisions are required to be issued, the content of the hearing decision, notification to the person requesting the hearing, retention of the hearing record, and the binding effect of a hearing decision. There are no substantive changes to the rule.

Rule 5101:6-7-03, entitled "Implementation of the hearing decision," sets forth the requirements that the local agency promptly and fully implement the hearing decision and the Bureau of State Hearings monitor timely compliance with the decision, and provides the time frames for required compliance with decisions. There are no substantive changes to the rule.

Rule 5101:6-8-01, entitled Administrative appeal of the state hearing decision," sets forth the appeal rights for the person who requested the hearing who disagrees with the state hearing decision, the reasons for which a person may request an administrative review of the hearing decision, the procedures for making a request for an administrative review, the reasons a request for an administrative review may be denied, and the content of the administrative appeal decision. There are no substantive changes to the rule.

Rule 5101:6-8-02, entitled "County reviews," sets forth the rights of the local agency to request a review of the state hearing decision if the local agency disagrees with the decision, the reason for which the local agency may request a review, and the time frame during which the local agency must request a review. The changes to the rule modify the reasons for which a review may be requested and extend the time frame in which the local agency has to request a review.

Rule 5101:6-9-01, entitled "Further appeal rights," sets forth the conditions under which a person who disagrees with an administrative appeal decision may appeal the decision to the court of common pleas and the requirements for prompt and full implementation by the local agency in response to the judicial decision. There are no substantive changes to the rule.

Instructions:

LocationRemove and File as ObsoleteInsert/Replacement
SHM1000 State Hearings Policy5101:6‑1‑01, effective 6/1/035101:6‑1‑01, effective 9/1/08
 5101:6‑3‑01, effective 5/31/045101:6‑3‑01, effective 9/1/08
 5101:6‑3‑02, effective 6/1/035101:6‑3‑02, effective 9/1/08
 5101:6‑4‑01, effective 6/1/035101:6‑4‑01, effective 9/1/08
 5101:6‑5‑02, effective 6/1/035101:6‑5‑02, effective 9/1/08
 5101:6‑5‑03, effective 6/1/035101:6‑5‑03, effective 9/1/08
 5101:6‑6‑01, effective 6/1/035101:6‑6‑01, effective 9/1/08
 5101:6‑6‑02, effective 12/18/065101:6‑6‑02, effective 9/1/08
 5101:6‑6‑03, effective 6/1/035101:6‑6‑03, effective 9/1/08
 5101:6‑6‑04, effective 6/1/035101:6‑6‑04, effective 9/1/08
 5101:6‑7‑01, effective 12/18/065101:6‑7‑01, effective 9/1/08
 5101:6‑7‑03, effective 6/1/035101:6‑7‑03, effective 9/1/08
 5101:6‑8‑01, effective 6/1/035101:6‑8‑01, effective 9/1/08
 5101:6‑8‑02, effective 6/1/035101:6‑8‑02, effective 9/1/08
 5101:6‑9‑01, effective 6/1/035101:6‑9‑01, effective 9/1/08