(A) This rule
describes the requirement for an applicant for or a recipient of Ohio works
first (OWF), medicaid, or Title IV-E foster care maintenance (FCM) benefits to
cooperate with the child support enforcement agency (CSEA) in establishing
paternity or in establishing, modifying, or enforcing a support
order.
(B) The following
definitions and terms apply to this rule:
(1)
"Caretaker" means:
(a) The parent, adult, or
minor head of household with whom a child who receives OWF or medicaid resides;
or
(b) The Title IV-E agency that
has custody of a child who receives FCM benefits.
(2) "Charter county" means a county that has,
pursuant to Section 3 of Article X of the Ohio Constitution (11/5/1957),
adopted a charter that permits the county to provide a different form of
government from that which is required under Ohio law for counties in
general.
(3) "Medical support"
means support specified as support for the purpose of medical care by order of
a court or administrative agency.
(C) Cooperation requirements for OWF
recipients.
(1) In accordance with rule
5101:1-3-10
of the Administrative Code, a caretaker who is a member of the OWF assistance
group of a child who receives OWF benefits shall cooperate with the CSEA,
unless the CSEA approves a good cause waiver of cooperation. OWF assistance
group means a group of individuals treated as a unit for purposes of
determining eligibility for and the amount of OWF benefits.
(2) A caretaker is considered cooperative
when the caretaker:
(a) Provides any available
information, through reasonable and diligent efforts, that is sufficient to
identify or locate a parent of a child who receives OWF. Information may
include but is not limited to the following about the child's mother or father
or each man alleged to be the child's father:
(i) Name;
(ii) Past or present address;
(iii) Telephone number;
(iv) Date of birth;
(v) Social security number;
(vi) Past or present place of
employment;
(vii) Past or present
schools attended;
(viii) Names,
addresses, and telephone numbers of family and friends; and
(ix) Other information determined necessary
by the CSEA.
(b) Submits
to or has the child submit to genetic tests ordered by a CSEA or court to
determine the existence or non-existence of a father and child
relationship.
(c) Appears at a
scheduled appointment or hearing to:
(i)
Locate or identify a parent of a child who receives OWF;
(ii) Establish the existence or non-existence
of a father and child relationship; or
(iii) Establish or modify a child support
order, including medical support provisions contained in the child support
order, or to enforce a support order.
(3) A caretaker is considered non-cooperative
when the caretaker has been notified to comply with paragraph (C)(2) of this
rule on two or more separate occasions by the CSEA in a county other than a
charter county and fails to comply on two or more consecutive occasions. After
the first instance of a determination of non-cooperation, the CSEA shall
consider a caretaker non-cooperative when the caretaker fails to comply with
paragraph (C)(2) of this rule on one occasion.
The CSEA in a charter county shall consider a caretaker
non-cooperative when the caretaker fails to:
(a) Comply with paragraph (C)(2) of this
rule; or
(b) Attend any court or
administrative hearing to determine the existence or non-existence of a father
and child relationship or to establish or modify a child support order,
including medical support provisions contained in the child support order, or
to enforce a support order.
(D) Cooperation requirements for medicaid
recipients.
(1) The caretaker of a child who
receives medicaid benefits shall cooperate with the CSEA unless:
(a) The CSEA approves a good cause waiver of
cooperation; or
(b) The caretaker
meets one of the following exceptions to cooperation:
(i) The child receives medicaid benefits and
is not receiving OWF or FCM benefits and the caretaker is not receiving OWF or
medicaid benefits in the same assistance group as the
child.
(ii) The caretaker is
pregnant or is no more than sixty days post-partum and receives medicaid
benefits.
(iii) The caretaker is
receiving transitional medicaid benefits.
(2) A child will not lose medicaid benefits
when the caretaker does not cooperate with the CSEA.
(3) A caretaker is considered cooperative
when the caretaker:
(a) Provides any available
information, through reasonable and diligent efforts, that is sufficient to
identify or locate a parent of a child who receives medicaid. Information may
include but is not limited to the following about the child's mother or father
or each man alleged to be the child's father:
(i) Name;
(ii) Past or present address;
(iii) Telephone number;
(iv) Date of birth;
(v) Social security number;
(vi) Past or present place of
employment;
(vii) Past or present
schools attended;
(viii) Names,
addresses, and telephone numbers of family and friends; and
(ix) Other information determined necessary
by the CSEA.
(b) Submits
to or has the child submit to genetic tests ordered by a CSEA or court to
determine the existence or non-existence of a father and child
relationship.
(c) Appears at a
scheduled appointment or hearing to:
(i)
Locate or identify a parent of a child who receives medicaid;
(ii) Establish the existence or non-existence
of a father and child relationship; or
(iii) Establish, modify or enforce the
medical support provisions contained in a child support order.
(d) Completes an ODM 06613,
"Accident/Injury Insurance Information" (effective or revised effective date as
identified in rule
5101:12-1-99
of the Administrative Code), when required by the CSEA.
(e) Fully discloses any health insurance
coverage or third party coverage that the medicaid recipient has or for which
the medicaid recipient may be eligible.
(f) Provides any available information that
is necessary for identification and collection of potential third party
payments.
(4) The CSEA
shall consider a caretaker non-cooperative when the caretaker fails to comply
with paragraph (D)(3) of this rule on two or more consecutive occasions. After
the first instance of a determination of non-cooperation, the CSEA shall
consider a caretaker non-cooperative when the caretaker fails to comply with
paragraph (D)(3) of this rule on one occasion.
(E) Cooperation between the CSEA and a Title
IV-E agency.
A Title IV-E agency that has custody of a child who receives
FCM benefits shall request services from the CSEA in accordance with rule
5101:2-47-08
of the Administrative Code. When such a request for services has been made, the
Title IVE agency has a requirement to cooperate with the CSEA unless the CSEA
approves a good cause waiver of cooperation. Cooperation from the Title IV-E
agency includes:
(1) Sending the CSEA
any court order that pertains to the child in the custody of the Title IV-E
agency, such as initial custody of the child, termination of parental rights,
or termination of custody.
(2)
Notifying the CSEA upon verification of changes in the circumstances of the
child or the child's parent.
(3)
Submitting the child to genetic tests ordered by a CSEA or court to determine
the existence or non-existence of a father and child relationship.
(4) Appearing at a scheduled appointment or
hearing to:
(a) Locate or identify a parent
of a child for whom the CSEA receives a referral;
(b) Establish the existence or non-existence
of a father and child relationship; or
(c) Establish or modify a child support
order, including medical support provisions contained in the child support
order, or to enforce a support order.
(F) Notification to the county department of
job and family services (CDJFS) regarding cooperation.
(1) When a caretaker who has an OWF or a
medicaid cooperation requirement does not cooperate with the CSEA, the CSEA
shall notify the CDJFS via the support enforcement tracking system (SETS)
within five days of the caretaker not cooperating. The CDJFS will determine
whether or not to terminate benefits.
(2) When a caretaker who previously did not
cooperate with the CSEA begins to cooperate, the CSEA shall notify the CDJFS
via SETS within five days of the caretaker cooperating. The CDJFS will
determine whether or not to reinstate benefits.
Notes
Ohio Admin. Code 5101:12-10-31
Effective:
6/1/2021
Five Year Review (FYR) Dates:
1/28/2021 and
06/01/2026
Promulgated
Under:
119.03
Statutory Authority:
3125.25,
5107.05,
5160.43
Rule Amplifies:
5107.20,
5107.22,
5160.37,
5160.38
Prior Effective Dates: 08/01/1982, 05/01/1987, 12/01/1987,
07/15/1988, 04/01/1989, 08/01/1990, 04/11/1991 (Emer.), 07/01/1991, 07/01/1996,
10/01/1997 (Emer.), 12/30/1997, 04/18/2003, 02/01/2005, 12/01/2008, 12/15/2009,
06/01/2015