Ohio Admin. Code 3304-2-21 - Third-party payments

(A) Regardless of any contract provision to the contrary, OOD shall pay for the costs of treatment, supportive services accessories and their upkeep, and costs incurred as part of a rehabilitation plan in excess of and secondary to payments of any third-party payor and of vocational rehabilitation services available to assist an individual with a disability in preparing for, securing, retaining, advancing in, or regaining an employment outcome consistent with the individual's unique strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice and pursuant to rule this chapter 3304-2-52 of the Administrative Code. Unless otherwise specified in rule 3304-2-52 of the Administrative Code, OOD payments for costs shall be made after all third-party payment sources are exhausted.

(B) As used in this rule, "third-party payor" means any insurer or other third-party payor licensed by the Ohio superintendent of insurance and any payor under any individual or group contract.

(C) This rule is designed to implement "Title IV of the Workforce Investment Act,"29 U.S.C. 2801 - 2945, which contains the 1998 amendments to "The Rehabilitation Act of 1973,"29 U.S.C. 701 -797 and resulting regulations.

Notes

Ohio Admin. Code 3304-2-21

Effective: 2/17/2025
Five Year Review (FYR) Dates: 11/21/2024 and 11/21/2029
Promulgated Under: 119.03
Statutory Authority: 3304.15, 3304.16
Rule Amplifies: 3304.15, 3304.16
Prior Effective Dates: 08/29/1979, 01/11/1999, 01/20/2004, 12/10/2007, 04/11/2008, 08/10/2009, 07/11/2013, 11/23/2019