(A)
What is a program integrity review?
A program integrity review carried out
for the publicly funded child care program is meant to ensure:
(1)
The program is
limited to only eligible recipients.
(2)
Payments to
providers are for actual services provided.
(3)
Payments to
providers conform to program rules.
(B)
Who performs
program integrity reviews?
The following entities may perform
program integrity reviews for the publicly funded child care
program:
(1)
The Ohio department of job and family services
(ODJFS).
(2)
A county department of job and family
services.
(3)
The Ohio auditor of state.
(4)
The Ohio attorney
general.
(5)
The Ohio inspector general.
(6)
The U.S.
department of health and human services (HHS).
(7)
The HHS office of
inspector general.
(8)
The U.S. government accountability
office.
(9)
Any entity working on behalf of ODJFS or the federal
government.
(C)
Who shall comply with publicly funded child care
program integrity reviews?
Child care providers with a provider
agreement or who had a provider agreement pursuant to rule
5101:2-16-09 of the
Administrative Code, and caretakers determined eligible for publicly funded
child care benefits pursuant to rule
5101:2-16-02 of the
Administrative Code shall cooperate and participate in reviews conducted by any
of the entities listed in paragraph (B) of this rule.
(D)
What
documentation and records will child care providers be required to provide as
part of a program integrity review?
(1)
Child care providers shall provide all documentation
and records which are required to be maintained by Chapters 3301-32, 3301-37,
5101:2-12, 5101:2-13, 5101:2-14, 5101:2-16 and 5101:2-18 of the Administrative
Code.
(2)
Child care providers shall provide the documents and
records listed in paragraph (D)(1) of this rule immediately upon request or no
later than fifteen days from the date the child care provider receives notice
of the request.
(3)
Child care providers shall provide all documentation
and records required to be maintained on-site immediately upon request during
an on-site review.
(E)
What happens if a
child care provider fails to comply with a program integrity review
request?
If a child care provider fails to
comply with a program integrity review request, ODJFS may do both of the
following:
(1)
Terminate the provider agreement entered into with
ODJFS pursuant to rule
5101:2-16-09 of the
Administrative Code.
(2)
Determine an overpayment for any claims under
examination as part of the review.
(F)
What happens if
ODJFS determines misuse of publicly funded child care or the automated child
care system pursuant to rule
5101:2-16-11 of the
Administrative Code?
ODJFS may do any of the
following:
(1)
Recoup all improper payments due to misuse of publicly
funded child care.
(2)
Terminate the provider agreement entered into with
ODJFS pursuant to rule
5101:2-16-09 of the
Administrative Code.
(G)
If ODJFS
terminates a provider agreement pursuant to this rule, when can the provider
request a new agreement?
A child care provider whose provider
agreement has been terminated pursuant to this rule may not re-enter into a
provider agreement for a period of five years from the date of
termination.
Replaces: 5101:2-16-72
Notes
Ohio Admin. Code
5101:2-16-12
Effective:
10/20/2019
Five Year Review (FYR) Dates:
10/20/2024
Promulgated
Under: 119.03
Statutory
Authority: 5104.38
Rule
Amplifies: 5104.37
Prior
Effective Dates: 05/04/2014, 08/10/2015,
12/16/2018