(A) All home visiting services shall be
delivered
in accordance with the following:
utilizing a model that has been determined
evidence-based by the Ohio department of health, and/or the office of planning,
research, and evaluation in the administration for children and families,
United States department of health and human services or its successor.
Services shall be implemented to model fidelity.
(1)
Utilizing a model
that has been determined evidence-based by the Ohio department of health,
and/or the office of planning, research, and evaluation in the administration
for children and families, United States department of health and human
services or its successor; or
(2)
Utilizing a model
that has been determined to be a promising-practice by the Ohio department of
health or the Ohio home visiting consortium as specified in section
3701.611 of the Revised Code;
and
(3)
All services shall be implemented in accordance with
the evidence-based or promising-practice home visiting model being
used.
(B) Families
residing in the urban and rural communities
that have
the highest infant mortality rates as specified in rules adopted under
section
3701.142 of the Revised Code
shall receive priority for home visiting services.
(C)
Each family or
caregiver will be assigned a primary home visitor. Additional credentialed home
visiting staff may provide services to the family upon approval of the Ohio
department of health and in accordance with the standards of the evidence-based
or promising-practice model being implemented.
Only one home visitor is assigned to the family or caregiver
at any given time.
(D)
After receiving a program referral, home visiting providers shall
assign a home visitor and ensure that the following
activities are completed before the first visit with the family:
(1) Confirm potential eligibility
for the program; and
(1)
Make a minimum of three attempts, on different days to
call, text or e-mail the caregiver, until successful contact is made, within
ten business days;
(2)
Schedule the initial home visit within ten business
days of the successful contact with the caregiver; and
(2)(3)
Inform the family that the home visitor
may
will need to view any one of the following
documents to verify program eligibility
, if not already
verified by the central intake and referral agency:
(a) Current women, infants and children
(WIC), Ohio medicaid, or other Ohio public assistance verification;
(b) Two most recent, consecutive pay stubs
from current employment that verifies the family meets income
guidelines;
(c) Military
identification; or
(d) Other
documentation which allows the home visitor to determine financial or military
eligibility.
(E)
Within thirty
days of enrollment, the home visitor will review documentation to confirm
eligibility for the program in accordance with paragraph (D) of this rule and
document in the family record when financial criteria are used for eligibility,
if eligibility has not already been verified by the central intake and referral
agency.
(E)(F) During the first
visit, home visitors shall:
complete of the
following:
(1) Review documentation to confirm
eligibility for the program in accordance with paragraph (D) of this rule and
document in the family record when financial criteria are used for
eligibility.
When an individual is unemployed,
this shall be noted in the demographics section of the statewide data
system.
(2)(1) Obtain written
consent to participate in the program on a form approved by the director, which
shall be placed into the record;
(3)(2) Explain the
program's goals, the structure and expectations for participation;
(4)(3)
Provide the parent or caregiver general information about the agency providing
the services, as well as how to contact both the home visitor and home visiting
supervisor;
(5)(4) Provide a copy of
the home visiting participants right's and privacy practices.
(F)(G) Home visitors shall
complete and document in the statewide data system a family centered assessment
either within the first thirty days after the
first home visit and determination of eligibility using an assessment
identified and approved for use by the department
and/or
in the timeline
established by the evidence-based
or
promising-practice model implemented.
(G)(H) Home visitors shall
complete other initial and ongoing required tools in accordance with provisions
contained within the provider agreement;
(H)(I)
Home visitors shall complete a family goal plan in the statewide data system
within the first
sixty
ninety days after the first home visit and
determination of eligibility. The family goal plan shall be reviewed and
revised
in accordance with the fidelity standards of
the evidence-based or promising-practice modeling being implemented;
at least once every six months, or as
requested by the family;
(1) Each family goal plan, to
include revisions, are signed and dated by primary caregiver and home visitor.
Copies shall be placed in the record;
One
electronic or paper copy of each family goal plan
is to be provided to the family at no cost within ten days of
completion or revision of the plan.
the caregiver's signature
(I)(J) Home visitors shall
offer and facilitate scheduling of visits according to evidenced-based
or promising-practice model fidelity
standards;
(J)(K) Home visiting
providers shall inform the
central intake and referral
agency
centralized coordination
contractor each time:
A child or family needs to change home visiting
providers;
When starting services with a family who has been participating
with another home visiting provider, the new provider shall conduct a family
goal plan review within sixty days of the program referral.
(K) When the referral source is
professional in nature, the home visiting providers shall, with caregiver
consent, provide a follow-up to the referral source on a form approved by the
director within sixty days of receiving the program referral.
(L) A family shall be exited from
home visiting services in accordance with the standards of the evidence-based
or promising-practice model being implemented,
when any one of the following applies:
(1) The
youngest eligible child in the family
reaches
the maximum age allowed in accordance with the
evidence-based or promising-practice model being implemented or when they reach
the age of exit as specified in section
3701.61 of the Revised
Code;
three years of age;
(2) The child moves out of the state of
Ohio;
(3) Repeated attempts to
visit are unsuccessful, as defined by the evidenced-based
or promising-practice model being implemented,
and documented in the statewide data system;
(4) The family terminates program
participation.
(5)
The family completes the requirements of the program
based on the evidence-based or promising-practice model being
implemented.
(M)
When a home visiting provider exits a family due to loss of contact, the
provider shall send a written correspondence via email, or post mail to the
last known address containing the following information:
(1) Details of the attempts which have been
made to contact the family;
(2)
This notification is the last contact attempt which the home visitor will
make;
(3) Contact information for
the program; and
(4) Information
explaining qualifications and procedures for returning to the home visiting
program.
(N) Providers
shall
immediately communicate to the
department all sentinel events involving families served in the home visiting
program
within twenty-four business hours of knowledge
of event. Provider shall communicate via email or telephone call to their
assigned program
consultant
representative or the
department's home visiting administrator.
(O) Providers who disagree with a
programmatic action taken by the department may submit a request
reconsideration in accordance with the following procedures:
(1) Submit a written request for
reconsideration to the department that includes any written materials the
applicant wishes to be considered so that they are received by the department
no later than thirty days after the date of initiation of the programmatic
action in questions;
(2) The decision of the director
under this paragraph shall be final and not subject to further administrative
or judicial review.
