5101:1-5-60 Supplemental security income case management program.

 

 

 

Rule Summary and Fiscal Analysis (Part A)

 

Department of Job and Family Services

Agency Name

 

Division of Public Assistance                              Mike Lynch

Division                                                                  Contact

 

30 E. Broad St., 31st Floor ODJFS, Office of Legal Services Columbus OH 43215-3414

614-466-4605        614-752-8298

Agency Mailing Address (Plus Zip)                                       Phone                     Fax

[e-mail]

Email

5101:1-5-60

Rule Number

AMENDMENT

TYPE of rule filing

Rule Title/Tag Line              Supplemental    security    income    (SSI)    case    management

program.

RULE SUMMARY

1.  Is the rule being filed consistent with the requirements of the RC 119.032 review? Yes

2.  Are you proposing this rule as a result of recent legislation? No

3.  Statute prescribing the procedure in accordance with the agency is required to adopt the rule: 111.15

4.  Statute(s) authorizing agency to adopt the rule: 5115.20

5.  Statute(s) the rule, as filed, amplifies or implements: 5115.20

6.  State the reason(s) for proposing (i.e., why are you filing,) this rule:

Five year rule review.

7.  If the rule is an AMENDMENT, then summarize the changes and the content of the proposed rule; If the rule type is RESCISSION, NEW or NO CHANGE, then summarize the content of the rule:

This rule sets forth the definition, the application and appeal processes as well as the payment and fee structures for the Supplemental Security Income Case Management program. Changes to the amended rule include formatting and grammatical updates.

8.  If the rule incorporates a text or other material by reference and the agency claims the incorporation by reference is exempt from compliance with sections

121.71 to 121.74 of the Revised Code because the text or other material is generally available to persons who reasonably can be expected to be affected by the rule, provide an explanation of how the text or other material is generally available to those persons:

This rule incorporates one or more dated references to the U.S. Code. This question is not applicable to any dated incorporation by reference to the U.S. Code because such reference is exempt from compliance with ORC 121.71 to 121.74 in accordance with ORC 121.75(A).

This rule incorporates one or more dated references to a federal act or acts. This question is not applicable to any dated incorporation by reference to a federal act because such reference is exempt from compliance with ORC 121.71 to 121.74 in accordance with ORC 121.75(C).

This rule incorporates one or more references to the Ohio Revised Code. This question is not applicable to any incorporation by reference to the ORC because such reference is exempt from compliance with ORC 121.71 to 121.74 pursuant to ORC 121.76(A)(1).

This rule incorporates one or more references to another rule or rules of the Ohio Administrative Code. This question is not applicable to any incorporation by reference to another OAC rule because such reference is exempt from compliance with ORC 121.71 to 121.74 pursuant to ORC 121.76(A)(3).

This rule incorporates one or more dated references to an ODJFS form or forms. Each cited ODJFS form is dated and is generally available to persons affected by this rule via the "Info Center" link on the ODJFS web site (http:jfs.ohio.gov//) in accordance with 121.75.

9.  If the rule incorporates a text or other material by reference, and it was infeasible for the agency to file the text or other material electronically, provide an explanation of why filing the text or other material electronically was infeasible:

Not applicable.

10.  If the rule is being rescinded and incorporates a text or other material by reference, and it was infeasible for the agency to file the text or other material, provide an explanation of why filing the text or other material was infeasible:

Not Applicable.

11.  If revising or refiling this rule, identify changes made from the previously filed version of this rule; if none, please state so. If applicable, indicate each specific paragraph of the rule that has been modified:

Not Applicable.

12. 119.032 Rule Review Date: 5/31/2013

(If the rule is not exempt and you answered NO to question No. 1, provide the scheduled review date. If you answered YES to No. 1, the review date for this rule is the filing date.)

NOTE: If the rule is not exempt at the time of final filing, two dates are required: the current review date plus a date not to exceed 5 years from the effective date for Amended rules or a date not to exceed 5 years from the review date for No Change rules.

FISCAL ANALYSIS

13.  Estimate the total amount by which this proposed rule would increase / decrease either revenues / expenditures for the agency during the current biennium (in dollars): Explain the net impact of the proposed changes to the budget of your agency/department.

This will have no impact on revenues or expenditures. 0.00

No impact on current budget.

14.  Identify the appropriation (by line item etc.) that authorizes each expenditure necessitated by the proposed rule:

Not applicable.

15.  Provide a summary of the estimated cost of compliance with the rule to all directly affected persons. When appropriate, please include the source for your

information/estimated costs, e.g. industry, CFR, internal/agency:

No new costs.

16.  Does this rule have a fiscal effect on school districts, counties, townships, or municipal corporations? No

17.  Does this rule deal with environmental protection or contain a component dealing with environmental protection as defined in R. C. 121.39? No

S.B. 2 (129th General Assembly) Questions

18.  Has this rule been filed with the Common Sense Initiative Office pursuant to

R.C. 121.82? No

19.  Specific to this rule, answer the following:

A.) Does this rule require a license, permit, or any other prior authorization to engage in or operate a line of business? No

B.) Does this rule impose a criminal penalty, a civil penalty, or another sanction, or create a cause of action, for failure to comply with its terms? No

C.) Does this rule require specific expenditures or the report of information as a condition of compliance? No

ACTION: Original		DATE: 05/31/2013 10:18 AM
JFS 03600 (Rev. 5/06)   DDA Request for Information

County Name                                        Recipient ID                                          Case Number

Client Last Name                                  Client First Name                      MI                     Sex                   DOB

Cardiologist                                         Neurologist                                                          Internist

Ophthalmologist                                 Psychologist or Psychiatrist or                      Orthopedic Surgeon

Co-Signed by                                                       Other

Heart Catheterization                       EEG with Interpretation                                    Complete current Basic Medical

(by MD or DO)

Stress Tests                                        HIV Testing CD4 Counts                                  Complete current Social Summary

Echo Cardiogram                               Pulmonary Function Studies or                      Complete JFS 07308 Arterial Blood Gas Studies

Radiation Therapy                              Current Height / Weight                                    Mental Status Report

/  Chemotherapy                                                                                                                 (full and current)

Current Chest X-Ray                         Eye Examination with visuals                         Mental Health Center Initial Narrative Report                                                                                      Assessment

CT Scan                                                Hospital Discharge Summary                        BDD Consultative Exam (psych) (H&P findings)

EKG Report

MRI Scan                                              Hospital Admission Summary                        Treating Psychological Psychiatric Exam

Bone Scan                                           Operative Reports                                             Educational Achievement Tests

EMG Report                                         Pathology Reports                                             I. Q. test results(Current)

WAIS-III

Range of Motion Studies          List of Medications                                     BINET - IV KAUFFMAN - ABC

Gait                                           Clinic / Office Notes                                   WPPS1 - III

Other                                               _

Grip Test Results                      Physician Progress Notes Nerve Conduction Tests  Emergency room visits

MRDD Records (COED1, OED1)

School Records (1EP, MFE, ETR)

Comments :

Technical Advisor                    Date                  Case Reviewer                                                  Date

JFS 03600 (Rev. 5/06)