Ohio Admin. Code 5101:2-44-13 - Administration of the post adoption special services subsidy (PASSS) program
(A)
The Ohio department of job and family services (ODJFS)
is responsible for the administration and determination of eligibility for the
post adoption special services subsidy (PASSS) program. The department may
contract with another person to carry out any of the duties described in this
rule.
(B)
An adoptive family seeking a post adoption special
service subsidy is to:
(1)
Submit a JFS 01050 "Application for Post Adoption
Special Services Subsidy" online at
https://ohiokan.jfs.ohio.gov/
or
(2)
Make contact with
the Ohio kinship and adoption navigator (OhioKAN) program by phone, email or in
person.
(C)
OhioKAN staff will make contact with the family to
assist in obtaining other needed documentation for the completed application.
The completed application will consist of the following documentation:
(1)
The JFS 01050
"Application for Post Adoption Special Services Subsidy."
(2)
The JFS 01051
"Application for Additional Post Adoption Special Services Subsidy (PASSS)
Funding for Extraordinary Circumstances," if applicable.
(3)
The JFS 01052
"Credentials of Professional Providers of PASSS Funded Therapeutic Services and
Memorandum of Understanding," if applicable.
(4)
The JFS 01681
"Applicant Financial Statement."
(5)
Any other
documentation requested to aid in the approval process.
(D)
OhioKAN staff are to work with the adoptive family to
provide assistance to the adoptive parent(s) in exploring other sources of
support and services for the child prior to forwarding the application and
accompanying documentation to ODJFS.
(E)
OhioKAN staff are
to inquire if the child who is receiving medicaid is enrolled in the OhioRISE
program. If the child is not enrolled in the OhioRISE program the child will be
referred to the program.
(F)
OhioKAN staff are to forward the completed application
and all required documentation as outlined in rule
5101:2-44-13.1 of the
Administrative Code to the ODJFS within fifteen calendar days.
(G)
ODJFS is to
review all documentation described in paragraph (C) of this rule and recommend
the services and level of funding to be provided by the PASSS program to the
adoptive family.
(H)
PASSS funds are to be used for the following:
(1)
Services that aid
in maintaining the child in the home of the adoptive parent.
(2)
Services that
will reduce serious psychological risk for the child or serious physical risk
for the child or others. Serious psychological or physical risk is defined as a
progressive psychological or physical illness, injury, or impairment that will
continue over an extended period of time and requires direct supervision by a
qualified professional as outlined in rule
5101:2-44-13.1 of the
Administrative Code. If such services are for a child not residing in the home,
the requested services are to focus on specific reunification goals that enable
the child to return home.
(3)
Medical services designed to relieve or correct
preadoptive health care problems.
(I)
Approval of the
PASSS application will be based on the following:
(1)
The review of
supporting documentation as specified in rule
5101:2-44-13.1 of the
Administrative Code.
(2)
Whether the application requirements of rule
5101:2-44-13.1 of the
Administrative Code are met.
(3)
A determination
that the individual services requested by the family are
appropriate.
(J)
The family is to receive written notice of approval or
denial on the "Approval or Denial for Post Adoption Special Services Subsidy"
report generated from the Ohio statewide automated child welfare information
system (SACWIS) to the adoptive family within five days of the decision to
approve or deny the application, but no later than forty-five days of
submission of the completed application.
(K)
In the event an
individual receives a denial notice the individual has the right to appeal the
decision by requesting a state hearing pursuant to section
5101.35 of the Revised Code and
division 5101:6 of the Administrative Code.
(1)
The individual
has fifteen calendar days from the mailing date of the denial notice to request
a state hearing.
(2)
The individual may withdraw the state hearing request
at any time prior to a state hearing decision being issued.
(L)
ODJFS
will approve PASSS funding for eligible applicants as long as state funds are
available. In the event state funding is no longer available, the PASSS program
will close to new applications until July first of the following state fiscal
year (SFY). Once state funds have been exhausted, ODJFS may not be held
responsible for payment of services for applications that have not been
approved.
(M)
PASSS funds are not to supplant medicaid funding if the
child is eligible for coverage under the medicaid program.
(N)
ODJFS may
consider approving services requested under the following conditions:
(1)
The child is not
eligible for medicaid.
(2)
The service recommended by a qualified professional for
the child's treatment is not a covered service under medicaid.
(3)
The service
requested by the family is not covered under the family's
insurance.
(4)
The provider of the recommended service does not accept
medicaid or is not covered by the family's insurance.
(O)
The
amount funded is not to exceed the amount paid for the same service provided by
a medicaid provider if the applicable service requested is covered under
medicaid pursuant to: appendix DD to rule
5160-1-60 of the Administrative
Code or appendix A to rule
5160-27-03 of Administrative
Code for mental health services.
(P)
If the service is
not covered under medicaid, the amount funded is to be a reasonable amount and
is to meet the guidelines of the qualified professional's licensing body
standards. The licensing body is the entity that has provided the license for
the individual to practice in their profession.
(Q)
Invoices are to
be submitted as services are rendered. All invoices submitted for payment that
comply with Chapter 5101:2-44 of the Administrative Code will be paid by ODJFS
if submitted no later than September thirtieth, after the close of the state
fiscal year in which the applications were approved.
(R)
Each approved
PASSS application is to be reviewed by ODJFS within twenty days after the state
fiscal quarter in which it was approved, and every subsequent quarter within
the SFY, to determine if the funding is being utilized.
(S)
ODJFS is to
notify families who have not utilized approved funds, within five days of
completion of the review, of its intent to release these funds for that quarter
unless the family provides adequate justification within twenty days of receipt
of the notice as to why the funds were not used.
(T)
If ODJFS does not
accept the justification offered by the family, ODJFS is to release the funds
in question and the family is responsible for the payment of
services.
(U)
If ODJFS releases the funds, it is to provide the
family information regarding the right to a state hearing pursuant to section
5101.35 of the Revised Code and
division 5101:6 of the Administrative Code.
Replaces: 5101:2-44-13
Notes
Promulgated Under: 119.03
Statutory Authority: 5101.1418
Rule Amplifies: 5101.1418
Prior Effective Dates: 10/02/1980, 07/01/1990, 01/13/1992 (Emer.), 07/01/1992, 09/21/1992, 09/18/1996, 01/30/1998, 03/06/2000 (Emer.), 06/01/2000, 07/01/2001, 07/01/2004, 07/01/2008, 05/01/2009, 12/01/2011, 05/15/2014, 05/01/2017, 08/01/2019
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