Current through all regulations passed and filed through September 16, 2024
The definitions contained in this rule are to be used by the
county department of job and family services (CDJFS) when developing and
implementing its Title XX program and preparing the "Title XX County
Profile."
(A) "Adoption services"
means:
(1) Services or activities provided to
assist in bringing about the adoption of a child.
(2) Component services and activities which
may include but are not limited to counseling the biological parent(s),
recruitment of adoptive homes, and pre and post placement training and/or
counseling.
(B)
"Agreement" means a written document for either a
contract or subgrant as defined by this rule.
(C) "Arrangement only"
means the time spent by CDJFS staff making collateral contacts (face to face,
telephone, or written) necessary to enable an eligible individual to receive
services as contained in the current county profile. These services may be
provided or purchased by a service provider or another agency through a
compact.
(D) "Case management
services" means:
(1) Services or activities
for the arrangement, coordination, and monitoring of services to meet the needs
of individuals and families.
(2)
Component services and activities which may include individual service plan
development, counseling, monitoring, developing, procuring, and coordinating
services; monitoring and evaluating client progress; and assuring that clients'
rights are protected.
(E) "Child care
services for children (including infants, pre-schoolers, school age children
and individuals under age eighteen with special needs or in need of protective
child care)" means:
(1) Services or activities
provided in a setting that meets applicable standards of state and local law,
in a center or in a home, for a portion of a twenty-four hour day.
(2) Component services or activities which
may include a comprehensive and coordinated set of appropriate developmental
activities for children, recreation, meals, and snacks, transportation, health
support services, social services counseling for a parent(s), plan development,
and licensing and monitoring of child care homes and facilities.
(F) "Collateral
contact" means the contact (direct, telephone, or written) with agencies,
friends, relatives and others directly related to arranging for a
service.
(G) "Compact services"
are services that are formal or informal arrangements between the CDJFS and a
community agency(s). The services are provided to individuals on a referral
basis without a charge to the county. This agreement may be written or
unwritten.
(H) "Congregate meals"
are:
(1) Services or activities designed to
prepare and serve one or more meals a day to individuals in central dining
areas in order to prevent institutionalization, malnutrition, and feeling of
isolation.
(2) Component services
or activities which may include the cost of personnel, equipment, and food;
assessment of nutritional and dietary needs; nutritional education and
counseling; socialization; and other services such as transportation and
information and referral.
(I) "Consultation"
means the provision of treatment by a psychiatrist or psychologist in day and
residential treatment for children or a medical consultation provided by a
health professional other than a physician, provided that the provider is
certified as a Title XIX (medicaid program) provider.
(J)
"Contract" means
a legal document by which a recipient or subrecipient purchases services needed
to carry out Title XX services, determined in accordance with
2 CFR
200.331 (2020-11-12) and rule 5101:9-4-88 of
the Administrative Code.
(K) "Counseling
services" means services or activities that apply therapeutic processes to
personal, family, situational, or occupational problems in order to bring about
a positive resolution of the problem or improved individual or family
functioning or circumstances; and problem areas which may include family and
marital relationships, parent-child problems, or drug abuse.
(L)
"Course" means the provision of an educational course of instruction or
classroom program.
(M) "Day care services
for adults" means:
(1) Services or activities
provided to adults who require care and supervision in a protective setting for
a portion of a twenty-four hour day. A full day of services is considered five
or more hours of care. All costs, exclusive of transportation, related to the
actual provision of care should be built into the unit of service.
(2) Component services or activities which
may include opportunity for social interaction; companionship and
self-education; health support or assistance in obtaining health services;
counseling; recreation and general leisure time activities; meals; personal
care services; plan development; and transportation.
(N)
"Day treatment services for children" means:
(1) Services designed for the basic purpose
of providing treatment for five or more hours of the day for children who
manifest primarily emotional, psychological, behavioral, or social problems
which cannot be resolved in a nonspecialized education or developmental
setting, or in specialized settings such as learning behavioral disabilities
classes. While these children may be able to live at home or in substitute
care, their needs are such that their daily activities shall be a part of a
treatment environment.
(2) Services
for children which involve specialized clinical services required for
diagnosis, treatment, and consultation in providing help for pathological
conditions; personality services, as distinguished from other parts of the
programs; and provided by staff with professional or technical training for
helping the child and parents (or caretakers with whom the child is living)
directly through such activities as the prescribing of drugs for individuals
and families, art and music therapy.
(3) Service components which include special
educational activities, training activities, social and recreational
activities, health services, personal and social interaction skill development,
activity therapies, community participation activities, and transportation.
These services are integral but subordinate to treatment. These services are to
be offered as an integrated program; however, the various components may be
delivered through different sources.
(4) Daily activities which include individual
and group program components and treatment services prescribed for the
individual child. These shall be coordinated and integrated into an individual
goal directed treatment plan for the child. The plan shall delineate a
predictable, measurable impact on the child's problem. Assessment of the
progress of this plan (a formal staffing for all necessary parties to review
goal attainment and to arrive at a decision of continuing the plan, revising
the plan, or terminating the placement) shall be completed every six months for
the total period of treatment.
(5)
Day treatment services for children are not available for federal financial
participation and therefore unallowable for:
(a) Educational services which residents of
Ohio usually receive free from a public agency unless they are provided as
integral but subordinate to the provision of this service.
(b) Any activities related to the provision
of Ohio works first (OWF).
(O) "Direct service "
means services provided by staff of the CDJFS.
(P) "Direct service
time" means the time spent actually providing the service either in direct or
telephone contact with the individual and time spent making collateral
contacts.
(Q) "Education and
training services" means:
(1) Services
provided to improve knowledge of daily living skills and to enhance cultural
opportunities.
(2) Services which
may include instruction or training in, but are not limited to, such issues as
consumer education, health education, community protection and safety
education, literacy education, English as a second language, and general
educational development (GED).
(3)
Component services or activities which may include screening; assessment and
testing; individual or group instruction; tutoring; provision of books,
supplies, and instructional material; counseling; transportation; and referral
to community resources.
(R) "Employment
services" means:
(1) Services or activities
provided to assist individuals in securing employment or acquiring or learning
skills that promote opportunities for employment.
(2) Component services or activities which
may include employment screening, assessment, or testing; structured job skills
and job seeking skills; specialized therapy (occupational, speech, physical);
special training and tutoring, including literacy training and pre-vocational
training; provision of books, supplies, and instructional material; counseling;
transportation; and referral to community resources.
(S)
"Family planning services" means:
(1)
Educational, comprehensive, medical, or social services or activities which
enable individuals, including minors, to determine freely the number and
spacing of their children and to select the means by which this may be
achieved.
(2) Services and
activities which include a broad range of acceptable and effective methods and
services to limit or enhance fertility, including contraceptive methods
(including natural family planning and abstinence), and the management of
infertility (including referral to adoption services).
(3) Specific component services and
activities which may include pre-conceptional counseling, education, and
general reproductive health care, including diagnosis and treatment of
infections which threaten reproductive capability. Family planning services do
not include pregnancy care (including obstetric or prenatal care).
(T) "Food assistance"
means:
(1) The provision and distribution of
supplemental food items to needy individuals and families to reduce hunger and
to promote healthy nutrition and diet.
(2) A statewide service that is reserved
exclusively for use by the Ohio department of job and family services,
component services or activities of which may include the cost of personnel,
insurance, equipment maintenance, food, transport, warehousing, and
distributions; assessment of nutritional and dietary needs; nutritional
education and counseling; socialization; and information and
referral.
(U) "Foster care
services for adults" means:
(1) Services or
activities that assess the need and arrange for the substitute care and
alternate living situation of adults in a setting suitable to the individual's
needs. Individuals may need such services because of social, physical, or
mental disabilities, or as a consequence of abuse or neglect.
(2) Care that may be provided in a
community-based setting, or such services may arrange for institutionalization
when necessary.
(3) Component
services or activities that include assessment of the individual's needs; case
planning and case management to assure that the individual receives proper care
in the placement; counseling to help with personal problems and adjusting to
new situations; assistance in obtaining other necessary supportive services;
determining, through periodic reviews, the continued appropriateness of and
need for placement; and recruitment and licensing of foster care homes and
facilities.
(V) "Foster care
services for children" means:
(1) Services or
activities associated with the provision of an alternative family life
experience for abused, neglected, or dependent children, between birth and the
age of majority, on the basis of a court commitment or a voluntary placement
agreement signed by the parent or guardian.
(2) Services that may be provided to children
in foster homes including foster homes operated by a relative of the child,
group homes, emergency shelters, residential facilities, child care
institutions, pre-adoptive homes, or supervised independent living
situations.
(3) Component services
or activities which may include assessment of the child's needs; case planning
and case management to assure that the child receives proper care in the
placement; medical care as an integral but subordinate part of the service;
counseling of the child, the child's parents, kinship care providers and the
foster caregivers; referral and assistance in obtaining other necessary
supportive services; periodic reviews to determine the continued
appropriateness and need for placement; and recruitment and licensing of foster
homes and child care institutions.
(W) "Group hour" means
the same as an hour except the individual is receiving the service in a group
setting. The projected unit cost is based on the total hourly cost of providing
the service divided by the average size of the group.
(X)
"Half-hour" means thirty minutes of purchased services in the service
unit.
(Y) "Health related and
home health services" means:
(1) In-home or
out-of-home services or activities designed to assist individuals and families
to attain and maintain a favorable condition of health.
(2) Component services and activities which
may include providing an analysis or assessment of an individual's health
problems and the development of a treatment plan; assisting individuals to
identify and understand their health needs; assisting individuals to locate,
provide, or secure, and utilize appropriate medical treatment, preventative
medical care, and health maintenance services, including in-home health
services and emergency medical services; and providing follow-up services as
needed.
(Z) "Home based
services" means:
(1) In-home services or
activities provided to individuals or families to assist with household or
personal care activities that improve or maintain adequate family
well-being.
(2) Services that may
be provided for reasons of illness, incapacity, frailty, absence of a caretaker
relative, or to prevent abuse and neglect of a child or adult.
(3) Major service components that include
homemaker services, chore services, home maintenance services, and household
management services.
(4) Component
services or activities that may include protective supervision of adults and/or
children to help prevent abuse, temporary non-medical personal care,
house-cleaning, essential shopping, simple household repairs, yard maintenance,
teaching of homemaking skills, training in self-help and self-care skills,
assistance with meal planning and preparation, sanitation, budgeting, and
general household management.
(AA)
"Home delivered meals" means:
(1) Services or
activities designed to prepare and deliver one or more meals a day to an
individual's residence in order to prevent institutionalization, malnutrition,
and feelings of isolation.
(2)
Component services or activities that may include the cost of personnel,
equipment, and food; assessment of nutritional and dietary needs; nutritional
education and counseling; socialization services; and information and
referral.
(BB) "Hour" means an
hour of direct service as described in the service unit and time spent making
collateral contacts directly related to the provision of the service. An hour
may be shown in fractional parts rounded to the nearest quarter or tenth of an
hour, at county option.
(CC) "Housing
services" means:
(1) Services or activities
designed to assist individuals or families in locating, obtaining, or retaining
suitable housing.
(2) Component
services or activities that may include tenant counseling; helping individuals
and families to identify and correct substandard housing conditions on behalf
of individuals and families who are unable to protect their own interest; and
assisting individuals and families to understand leases, secure utilities, make
moving arrangements and minor renovations.
(DD)
"Independent and transitional living services" means:
(1) Services and activities designed to help
older youth in foster care or homeless youth make transition to independent
living, or to help adults make the transition from an institution or from
homelessness, to independent living.
(2) Component services or activities that may
include educational and employment assistance, training in daily living skills,
and housing assistance. Specific component services and activities may include
supervised practice living and post-foster care services.
(EE)
"Indirect activities" means the supportive activities that are not billed or
reported as time spent providing or arranging services. Such activities are
important, but many of them cannot be easily linked to both a particular
service and a particular individual. Indirect activities and their related
costs are reimbursable, but should not be incorporated into the estimate of the
maximum number of units in a purchase contract. Such activities include case
recording, eligibility determination, general intake, home finding related to
adoption and foster care, supervision, time spent in conference not related to
specific individuals, nursing contacts, diagnostic evaluations and examinations
necessary to identify service needs or to develop an individual plan of
services and treatment.
(FF) "Individual
service plan" means the document that is developed to provide services to the
consumer.
(GG) "Information and
referral services" means services or activities designed to provide information
about services provided by public and private service providers and brief
assessment of client needs (but not diagnosis and evaluation) to facilitate
appropriate referral to community resources.
(HH) "Item of
equipment" means the equipment purchased for blind individuals.
(II)
"Legal services" means:
(1) Services or
activities provided by a lawyer or other person(s) under the supervision of a
lawyer to assist individuals in seeking or obtaining legal help in civil
matters such as housing, divorce, child support, guardianship, paternity and
legal separation.
(2) Component
services or activities which may include receiving and preparing cases for
trial, provision of legal advice, representation at hearing, and counseling.
(JJ) "Meal" means the
provision of a meal, including the cost of preparation, serving or delivery of
the meal. The cost of raw food may be included provided the service does not
provide three meals a day or a full nutritional regimen.
(KK)
"Minor medical and remedial care components" means medical care directed
towards the correction or amelioration of a medical condition, which has been
diagnosed as such by an Ohio licensed medical practitioner operating within the
scope of state law. Such medical services are allowable under Title XX only
when they are not available to the individual under Title XVIII (medicare),
Title XIX (medicaid program) or a private insurance plan. These components
shall be separately costed, billed and reported.
(LL) "Mile" means one
mile of transportation.
(MM) "Payment" means
the payment of delivery cost, housing repairs or moving expenses.
(NN)
"Pregnancy and parenting services for young parents" means:
(1) Services or activities for married or
unmarried adolescent parents and their families designed to assist young
parents in coping with the social, emotional, and economic problems related to
pregnancy and in planning for the future.
(2) Component services or activities which
may include securing necessary health care and living arrangements; obtaining
legal services; and providing counseling, child care education, and training in
and development of parenting skills.
(OO) "Prescription"
means the provision of a prescribed drug in a day treatment or residential
treatment setting for children.
(PP) "Prevention and
intervention" means:
(1) Services or
activities designed to provide early identification and/or timely intervention
to support families and prevent or ameliorate the consequences of abuse,
neglect, or domestic violence, or to assist in making arrangements for
alternate placement or living arrangements where necessary. Such services may
also be provided to prevent the removal of a child or adult from the
home.
(2) Component services and
activities which may include investigation, assessment and/or evaluation of the
extent of the problem; counseling, including mental health counseling or
therapy as needed; developmental and parenting skills training; respite care;
and other services including supervision, case management, and
transportation.
(QQ) "Procedure" means
the provision of a complete specified procedure in family planning including
but not limited to vasectomy, insertion of intrauterine device (IUD), materials
and anesthetic.
(RR) "Protective
services for adult" means:
(1) Services or
activities designed to prevent or remedy abuse, neglect, or exploitation of
adults who are unable to protect their own interest.
(2) Situations that may require protective
services including injury due to maltreatment or domestic violence; lack of
adequate food, clothing or shelter; lack of essential medical treatment or
rehabilitation services; and lack of necessary financial or other
resources.
(3) Component services
or activities that may include investigation; immediate intervention; arranging
emergency medical services; emergency shelter; developing case plans;
initiation of legal action (if needed); counseling for the individual and
family; assessment/evaluation of family circumstances; arranging alternative or
improved living arrangements; preparing for foster care placement, if needed;
and case management and referral to service providers.
(SS)
"Protective services for children" means:
(1)
Services or activities designed to prevent or remedy abuse, neglect, or
exploitation of children who may be harmed through physical or mental injury,
sexual abuse or exploitation, and negligent treatment or maltreatment,
including failure to be provided with adequate food, clothing, shelter, or
medical care.
(2) Component
services or activities that may include immediate investigation and
intervention; arranging emergency medical services; emergency shelter;
developing case plan initiation of legal action (if needed); counseling for the
child and the family; assessment/evaluation of family circumstances; arranging
alternative living arrangements; preparing for foster placement, if needed; and
case management and referral to service providers.
(TT)
"Purchase services" means services provided through written contract between:
private or nonprofit agencies, individual and other public agencies. Public
agencies meaning an agency under the administrative and budgetary control of
the city, county or state government acting under the mandate of the general
assembly.
(UU) "Recreation
services" means services or activities designed to provide or assist
individuals to take advantage of individual or group activities directed
towards promoting physical, cultural, and/or social development.
(VV)
"Residential treatment services" means:
(1)
Short-term residential care and comprehensive treatment and services for
children or adults whose problems are so severe or are such that they cannot be
cared for at home or in foster care and need the specialized services provided
by specialized facilities. Residential treatment services should always be
reported as twenty-four hours in whole numbers counting the day of admission as
day one and the day of release as the last day.
(2) Component services and activities which
may include diagnosis and psychological evaluation; alcohol and drug
detoxification services; individual, family, and group therapy and counseling;
remedial education and general educational development (GED) preparation;
vocational or pre-vocational training; training in activities of daily living;
supervised recreational and social activities; and case management.
(WW) "Round trip per
person" means the provision of a round trip of transportation
services.
(XX) "Special services
for persons with developmental or physical disabilities or persons with visual
or auditory impairments" means:
(1) Services
or activities to maximize the potential of persons with disabilities, help
alleviate the effects of physical, mental or emotional disabilities, and to
enable those persons to live in the least restrictive environment
possible.
(2) Components services
or activities which may include personal and family counseling; respite care;
family support; recreation; transportation; aid to assist with independent
functioning in the community; and training in mobility, communication skills,
the use of special aids and appliances, and self sufficiency skills.
Residential and medical services may be included only as an integral, but
subordinate, part of the services.
(YY) "Special services
for youth involved in or at risk of involvement in criminal activity" means:
(1) Services or activities for youth who are,
or who may become, involved with the juvenile justice system and their
families.
(2) Component services or
activities that are designed to enhance family functioning and/or modify the
youth's behavior with the goal of developing socially appropriate behavior and
may include counseling, intervention therapy and residential and medical
services if included as an integral but subordinate part of the
services.
(ZZ)
"Subgrant" means subrecipient agreements between a
private, non-profit or other government agency, determined in accordance with
2 CFR
200.331 and rule 5101:9-4-88 of the
Administrative Code.
(AAA) "Substance abuse
services" means:
(1) Services or activities
that are primarily designed to deter, reduce, or eliminate substance abuse or
chemical dependency. Except for initial detoxification services, medical and
residential services may be included but only as an integral but subordinate
part of the service.
(2) Component
substance abuse services or activities that may include a comprehensive range
of personal and family counseling methods, methadone treatment for opiate
abusers, or detoxification treatment for alcohol abusers.
(3) Services that may be provided in
alternative living arrangements such as institutional settings and
community-based halfway houses. The day should always be reported as
twenty-four hours in whole numbers counting the day of admission as day one and
the day of release as the last day.
(BBB) "Supply" means
the provision of supplies used in family planning.
(CCC) "Test" means
the provision of one laboratory test in family planning.
(DDD) "Token" means a
ticket used by the individual to ride a common carrier in transportation
services.
(EEE) "Transaction"
means an incident of information and referral.
(FFF) "Transportation
services" means:
(1) Services or activities
that provide or arrange for travel including travel costs of individuals in
order to access services or obtain medical care or employment.
(2) Component services or activities that may
include special travel arrangements such as special modes of transportation and
personnel to accompany or assist individuals or families to utilize
transportation.
