Ohio Administrative Code
Title 5101:2 - Division of Social Services
Chapter 5101:2-44 - State Adoption Subsidy Program
Section 5101:2-44-12 - State adoption maintenance subsidy records
Universal Citation: OH Admin Code 5101:2-44-12
Current through all regulations passed and filed through September 16, 2024
(A) The public children services agency (PCSA) shall establish a state adoption maintenance subsidy record for each child's application for a state adoption maintenance subsidy (SAMS).
(B) The state adoption maintenance subsidy record shall contain all information applicable to the adoption maintenance subsidy including, but not limited to the following:
(1) JFS 01654 "Adoptive Placement Agreement"
(rev. 2/2017).
(2) JFS 01613 "Application for State Adoption
Maintenance Subsidy" (rev.
4/2019).
(3) Copy of the Title IV-E adoption
assistance denial to include the JFS 01451 "Title IV-E Adoption Assistance
Application" (rev.
12/2015),
JFS 01451-B "Title IV-E Adoption
Assistance Annual Assurance of Legal Responsibility, School Attendance and
Eligibility for Continued Medicaid Coverage" (rev. 12/2015) and the JFS
07334 "Notice of Denial of Your Application for
Assistance" (rev. 9/2011).
(4) Documentation of the adoptive child's
special needs.
(5) Verification of
family's annual gross income at initial application and
redeterminations.
(6) JFS 01615
"Approval for State Adoption Maintenance Subsidy
Agreement" (rev. 4/2019).
(7) JFS 01614 "Redetermination or Amendment
of a State Adoption Maintenance Subsidy" (
4/2019).
(8) Any JFS 04065
"Prior Notice of the Right to a State Hearing" (rev. 5/2001) or JFS 07334
, if applicable.
(9) JFS 01449
"Determination of Special Needs for Medical, Mental Health or Rehabilitative
Care" (rev. 7/2016) to determine whether the child has or does not
have special needs for medical, mental health, or rehabilitative
care.
(10) Copy of the final decree of adoption.
(11)
Case notes and dictations concerning the activities of the state adoption
maintenance subsidy case.
(12)
Requests for and findings of any state hearings or administrative appeals
conducted pursuant to section
5101.35 of the Revised Code and
division 5101:6 of the Administrative Code.
(13) Child study
inventory.
(14)
JFS 01616 "Social and Medical History" (rev. 6/2009).
(15)
JFS 01673 "Assessment for Child Placement (Homestudy) "(rev.
12/2014) or JFS 01692 "Application for Adoption of a
Foster Child
or
Sibling Group" (rev. 12/2014).
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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