(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 falls
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 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.
Replaces: 5101:6-1-01
Effective: 3/1/2019
Five Year Review (FYR) Dates: 03/01/2024
Certification: CERTIFIED ELECTRONICALLY
Date: 02/05/2019
Promulgated Under: 119.03
Statutory Authority: 5101.35, 3125.25
Rule Amplifies: 3125.25, 5101.35, 5160.011, 5160.31
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