(A)What is a group
living arrangement?
A group living arrangement is a public or private non-profit residential
setting that:
(1)Provides its residents
with a majority of their meals (over fifty per cent of their meals daily);
(2)Has no more than
sixteen residents; and
(3)Is certified by
a public agency of the state of Ohio under section 1616(e) of the Social Security
Act of 1935 (42 U.S.C. 1382e) (12/201312/1999), or under comparable standards determined by the
secretary of the United States department of agriculture (USDA).
(B)What requirements
shall a group living arrangement meet for its residents to be eligible to receive
supplemental nutrition assistance program (SNAP) benefits?
(1)Non-profit: the
group living arrangement may be operated by a public agency or private organization
but must be considered non-profit as defined in section 501 of the Internal Revenue
Code (26 U.S.C. 501) (12/201403/2018).
(a)The group living
arrangement may verify its non-profit status by verifying that it is authorized
by the USDA food and nutrition service (FNS) to accept SNAP benefits or by providing
other documents.
(b)The verification
of non-profit status may be contained in the license or certificate issued by the
appropriate state agency. Not all group living arrangements certified or licensed
by the state of Ohio are non-profit organizations.
(c)The county agency
shall ensure that the group living arrangement has appropriate non-profit status.
(2)Sixteen or fewer
residents: in order to participate in SNAP under this rule, the maximum number of
residents in the group living arrangement shall be sixteen. Not all residents have
to be eligible for SNAP benefits for others to be eligible. For example: if there
are sixteen residents in a group home and ten apply and only nine are found eligible,
the ineligibility of the one person does not affect the eligibility of the others.
(3)Certification and
licensure: the group living arrangement shall be certified or licensed by an agency
of the state of Ohio that is authorized under section 1616(e) of the Social Security
Act of 1935 (42 U.S.C. 1382e), or under standards determined by the USDA secretary.
Section 1616(e) of the Social Security Act (42 U.S.C. 1382e) requires Ohio to designate
one or more state agencies with the authority to set and enforce standards for various
types of group living arrangements. The county agency shall review the license or
certificate of the particular group living arrangement.
(C)What state agencies
have authority to certify or license group living arrangements?
The designated state agencies, their responsibilities, and the statutory
references are:
(1)Ohio department
of mental health - licensing of residential facilities (section 5119.34 of the Revised
Code; Chapter 5122:3-1 of the Administrative Code).
(2)Ohio department
of developmental disabilities - licensing of residential facilities for the mentally
retarded and the developmentally disabled (section 5123.19 of the Revised Code;
Chapter 5123:2-3 of the Administrative Code).
(3)Ohio department
of aging - certifying adult foster homes for older adults and investigating complaints
of individuals residing in facilities licensed by the Ohio department of health
(Chapter 173. of the Revised Code; agency 173 of the Administrative Code).
(4)Ohio department
of job and family services - licensing of group homes for children (section 5103.03
of the Revised Code; Chapter 5101:2-9 of the Administrative Code).
(D)What type of residents
are eligible to live in a group living arrangement and still be eligible for benefits?
The resident(s) must be blind or disabled as defined in the definition
of "elderly or disabled member" as set forth in rule 5101:4-1-03 of the
Administrative Code. Aged residents who are not also blind or disabled are not eligible.
(E)How can individuals
living in a group living arrangement apply for benefits?
(1)Disabled or blind
residents of a group living arrangement may apply for benefits through:
(a)An authorized representative
employed and designated by the group living arrangement;
(b)An authorized representative
of their choice; or
(c)On their own behalf.
(2)The group living
arrangement shall determine if a resident may apply on his or her own behalf based
on the resident's physical and mental ability.
(3)Some residents
of the group living arrangement may apply on their own behalf while other residents
of the same group living arrangement may apply through the group living arrangement's
representative.
(F)What must the county
agency do before certifying any individuals residing in a group living arrangement?
The county agency shall verify that the group living arrangement
meets the requirements described in paragraph (B) of this rule.
(G)How is assistance
group composition determined for an individual residing in a group living arrangement?
(1)When the residents
apply on their own behalf, the assistance group size must be determined in accordance
with the definition of assistance group in rule 5101:4-2-03 of the Administrative
Code. The county agency must certify these residents using the same provisions that
apply to all other assistance groups.
(2)When the residents
apply through the use of the group living arrangement's authorized representative,
their eligibility must be determined as a one-person assistance group.
(H)How can food be
purchased in a group living arrangement setting?
(1)When the residents
are certified on their own behalf, the benefits may be returned to the group living
arrangement to be used to purchase meals served communally or individually to eligible
residents or retained and used to purchase and prepare food for their own consumption.
(2)The group living
arrangement may purchase and prepare food to be consumed by eligible residents on
a group basis when the residents normally obtain their meals at a central location
as part of the group living arrangement's service or when meals are prepared at
a central location for delivery to individual residents.
(3)When personalized
meals are prepared and paid for with food assistance benefits, the group living
arrangement must ensure that the resident's benefits are used for meals intended
for that resident.
(I)What are the
responsibilities of the group living arrangement facility?
The group living arrangement must:
(1)Provide a list
of SNAP participants: on a periodic basis as determined by the county agency each
group living arrangement shall provide the county agency with a list of currently
participating residents and include a statement signed by the group living arrangement
official attesting to the validity of the list.
(2)Cooperate with
on-site visits: the group living arrangement shall cooperate with the county agency
when conducting periodic random on-site visits to the facility to assure the accuracy
of the list and that the county agency's records are consistent and up-to-date.
The frequency of these visits are determined by the county agency. During the visit,
the county agency may also verify other information needed to certify the facility's
residents.
(3)Report when an
assistance group leaves: the group living arrangement shall notify the county agency
when an assistance group has left the group living arrangement and provide the residents
with their electronic benefit transfer (EBT) card within five days of the household's
departure. When the assistance group has already left the center, the center shall
return the EBT card to the county agency within five calendar days. The assistance
group, not the group living arrangement, shall be allowed to sign for and receive
any remaining benefits authorized.
(4)Report changes:
when the resident has made application on his or her own behalf, the resident is
responsible for reporting changes to the county agency as provided in rule 5101:4-7-01
of the Administrative Code. When the group living arrangement is acting as the authorized
representative, the group living arrangement shall notify the county agency, as
provided in rule 5101:4-7-01 of the Administrative Code, of changes in the assistance
group's circumstances.
(5)Loss, misuse or
overpayment: the group living arrangement shall be responsible for any misrepresentation
or intentional program violation which it knowingly commits in the certification
of residents. As an authorized representative described in paragraph (A)(1) of rule
5101:4-2-05 of the Administrative Code, the group living arrangement must be knowledgeable
about assistance group circumstances and should carefully review those circumstances
with residents prior to applying on their behalf. The group living arrangement shall
be strictly liable for all losses or misuse of benefits held on behalf of resident
assistance groups and for all overpayments which occur while acting as an authorized
representative. However, the group living arrangement is not responsible for any
misrepresentation or intentional program violation if a resident has made application
on his or her own behalf. The resident applying on his or her own behalf shall be
responsible for overpayments as would any other assistance group.
(J)What must the
group living arrangement do with the remaining benefits when an assistance group
leaves?
(1)When no benefits have been spent on behalf
of the individual assistance group, the facility is to return the full value of
any benefits already debited from the assistance group's current monthly allotment
back into the assistance group's EBT account at the time the individual leaves the
facility. These procedures are applicable at any time during the month.
(2)When the benefits have already been debited
from the EBT account and any portion spent on behalf of the assistance group, the
following procedures are to be followed:
(a)When the benefits have already been issued
and the assistance group leaves the group living arrangement, prior to the sixteenth
day of the month, the facility is to provide the assistance group with one half
of its monthly allotment.
(b)When the assistance group leaves on or after
the sixteenth day of the month and benefits have already been debited and used,
the assistance group does not receive any benefits.
(1)If the benefits have already been issued
and the assistance group leaves the group living arrangement, the facility shall
provide the assistance group with a prorated amount of its monthly benefit allotment
based on the number of days in the month that the household resided in the facility.
(2)(3) The group living arrangement shall, if possible,
provide the assistance group with a change report form to report the change of address
and any other change in circumstances after leaving the group living arrangement.
The group living arrangement shall also advise the assistance group to return the
form to the appropriate county agency within the timeframe outlined in rule 5101:4-7-01
of the Administrative Code.
(3)(4) The group living arrangement shall notify the
county agency when the assistance group leaves by sending a completed JFS 04196,
"Food Assistance Change Reporting" (rev. 10/2017)
to the agency informing the agency of the households change in address, new address
if available, and that the group living arrangement is no longer the household's
authorized representative.
(5)The group living arrangement is to return
any EBT cards not provided to departing residents at the end of each month to the
county agency.
(K)Can a group living
arrangement redeem SNAP benefits?
Under the USDA FNS regulations, the only way a group living arrangement
can redeem benefits is when the group living arrangement is certified as a retail
food store. To become an authorized SNAP retailer the group living arrangement must:
(1)Contact USDA FNS
to apply to become a retailer.
(2)The group living
arrangement authorized by USDA FNS as a retail food store may be penalized or disqualified
if it is determined administratively or judicially that benefits were misappropriated
or used for purchases that did not contribute to a certified assistance group's
meals.
(L)What should a county
agency do if it believes a group living arrangement is inappropriately using benefits?
The county agency shall:
(1)Promptly notify
USDA FNS that an organization or institution is misusing benefits in its possession.
However, the county agency shall take no action prior to USDA FNS action against
the organization or institution.
(2)When the USDA FNS
disqualifies the group living arrangement as an authorized retail food store, the
county agency shall suspend the authorized representative status for the same time;
but residents applying on their own behalf will still be able to participate if
otherwise eligible.
(3)Establish a claim
for overpayment when an overpayment is discovered during an investigation or hearing
procedure for redemption violations in accordance with paragraph (I)(5) of this
rule.
Effective: 4/1/2020
Five Year Review (FYR) Dates: 2/1/2021
Certification: CERTIFIED ELECTRONICALLY
Date: 03/13/2020
Promulgated Under: 111.15
Statutory Authority: 5101.54
Rule Amplifies: 329.04, 329.042, 5101.54
Prior Effective Dates: 12/01/1980, 09/27/1982, 02/15/1985
(Emer.), 05/12/1985, 08/16/1985 (Emer.), 11/01/1985 (Emer.), 01/01/1986,
10/01/1990, 12/01/1991, 08/01/1992 (Emer.), 10/30/1992, 09/01/1994, 07/01/1996,
02/01/1999, 06/01/2001 (Emer.), 08/27/2001, 12/01/2005, 04/01/2010, 03/01/2011,
02/01/2016, 09/01/2018