Current through all regulations passed and filed through December 16, 2024
(A) What is a group living arrangement?
A group living arrangement is a public or private non-profit
residential setting that:
(1) Provides
its residents with a majority of their meals (over fifty per cent of their
meals daily);
(2) Has no more than
sixteen residents; and
(3) Is
certified by a public agency of the state of Ohio under section 1616(e) of the
Social Security Act of 1935 (42 U.S.C. 1382e) (12/1999), or
under comparable standards determined by the secretary of the United States
department of agriculture (USDA).
(B) What are
the requirements a group living
arrangement is to meet for its residents to be
eligible to receive supplemental nutrition assistance program (SNAP) benefits?
(1) Non-profit: the group living arrangement
may be operated by a public agency or private organization but
is to be
considered non-profit as defined in section
501 of the Internal Revenue Code
(26 U.S.C.
501) (12/2019).
(a) The group living arrangement may verify
its non-profit status by verifying that it is authorized by the USDA food and
nutrition service (FNS) to accept SNAP benefits or by providing other
documents.
(b) The verification of
non-profit status may be contained in the license or certificate issued by the
appropriate state agency. Not all group living arrangements certified or
licensed by the state of Ohio are non-profit organizations.
(c) The county agency
is to
ensure that the group living arrangement has appropriate non-profit
status.
(2) Sixteen or
fewer residents: in order to participate in SNAP under this rule, the maximum
number of residents in the group living arrangement
is sixteen.
Not all residents have to be eligible for SNAP benefits for others to be
eligible. For example: when there are sixteen residents in a group home and ten
apply and only nine are found eligible, the ineligibility of the one person
does not affect the eligibility of the others.
(3) Certification and licensure: the group
living arrangement
is to be certified or licensed by an agency of
the state of Ohio that is authorized under section 1616(e) of the Social
Security Act of 1935 (42
U.S.C. 1382e), or under standards determined
by the USDA secretary. Section 1616(e) of the Social Security Act
(42 U.S.C.
1382e) requires Ohio to designate one or more
state agencies with the authority to set and enforce standards for various
types of group living arrangements. The county agency
is to
review the license or certificate of the particular group living
arrangement.
(C) What
state agencies have authority to certify or license group living arrangements?
The designated state agencies, their responsibilities, and the
statutory references are:
(1) Ohio
department of mental health - licensing of residential facilities (section
5119.34 of the Revised Code;
Chapter 5122:3-1 of the Administrative Code).
(2) Ohio department of developmental
disabilities - licensing of residential facilities for
individuals with a developmental
disability (section
5123.19 of the Revised Code;
Chapter 5123:2-3 of the Administrative Code).
(3) Ohio department of aging - certifying
adult foster homes for older adults and investigating complaints of individuals
residing in facilities licensed by the Ohio department of health (Chapter 173.
of the Revised Code; agency 173 of the Administrative Code).
(4) Ohio department of job and family
services - licensing of group homes for children (section
5103.03 of the Revised Code;
Chapter 5101:2-9 of the Administrative Code).
(D) What type of residents are eligible to
live in a group living arrangement and still be eligible for benefits?
The resident(s)
are to be blind or disabled as defined in the
definition of "elderly or disabled member" as described in rule
5101:4-1-03 of the
Administrative Code. Aged residents who are not also blind or disabled are not
eligible.
(E) How can
individuals living in a group living arrangement apply for benefits?
(1) Disabled or blind residents of a group
living arrangement may apply for benefits through:
(a) An authorized representative employed and
designated by the group living arrangement;
(b) An authorized representative of their
choice; or
(2) The group
living arrangement
is to determine when a resident may apply on
their own behalf based on the resident's physical and mental ability.
(3) Some residents of the group living
arrangement may apply on their own behalf while other residents of the same
group living arrangement may apply through the group living arrangement's
representative.
(F) What
is the
county agency to do before certifying any
individuals residing in a group living arrangement?
The county agency
is to verify that the group living arrangement
meets the requirements described in paragraph (B) of this rule.
(G) How is assistance group
composition determined for an individual residing in a group living
arrangement?
(1) When the residents apply on
their own behalf, the assistance group size
is determined in accordance with the
definition of assistance group in rule
5101:4-2-03 of the
Administrative Code. The county agency
is to certify these residents using the same
provisions that apply to all other assistance groups.
(2) When the residents apply through the use
of the group living arrangement's authorized representative, their eligibility
is to be
determined as a one- person assistance group.
(H) How can food be purchased in a group
living arrangement setting?
(1) When the
residents are certified on their own behalf, the benefits may be returned to
the group living arrangement to be used to purchase meals served communally or
individually to eligible residents or retained and used to purchase and prepare
food for their own consumption.
(2)
The group living arrangement may purchase and prepare food to be consumed by
eligible residents on a group basis when the residents normally obtain their
meals at a central location as part of the group living arrangement's service
or when meals are prepared at a central location for delivery to individual
residents.
(3) When personalized
meals are prepared and paid for with SNAP benefits, the group living
arrangement
is
to ensure that the resident's benefits are used for meals intended for
that resident.
(I) What
are the responsibilities of the group living arrangement facility?
The group living arrangement is to:
(1) Provide a list of SNAP participants: on a
periodic basis as determined by the county agency each group living arrangement
is to
provide the county agency with a list of currently participating residents and
include a statement signed by the group living arrangement official attesting
to the validity of the list.
(2)
Cooperate with on-site visits: the group living arrangement
is to
cooperate with the county agency when conducting periodic random on-site visits
to the facility to assure the accuracy of the list and that the county agency's
records are consistent and up-to-date. The frequency of these visits are
determined by the county agency. During the visit, the county agency may also
verify other information needed to certify the facility's residents.
(3) Report when an assistance group leaves:
the group living arrangement
is to notify the county agency when an assistance
group has left the group living arrangement and provide the residents with
their electronic benefit transfer (EBT) card within five days of the assistance
group's departure. When the assistance group has already left the center, the
center
is
to return the EBT card to the county agency within five calendar days.
The assistance group, not the group living arrangement,
is
allowed to sign for and receive any remaining benefits authorized.
(4) Report changes: when the resident has
made application on their own behalf, the resident is responsible for reporting
changes to the county agency as described in rule
5101:4-7-01 of the
Administrative Code. When the group living arrangement is acting as the
authorized representative, the group living arrangement
is to
notify the county agency, as described in rule
5101:4-7-01 of the
Administrative Code, of changes in the assistance group's
circumstances.
(5) Loss, misuse or
overpayment: the group living arrangement
is responsible for any
misrepresentation or intentional program violation that it knowingly commits in
the certification of residents. As an authorized representative described in
rule 5101:4-2-05 of the
Administrative Code, the group living arrangement
is to be
knowledgeable about assistance group circumstances and
is to
carefully review those circumstances with residents prior to applying on their
behalf. The group living arrangement
is
strictly liable for all losses or misuse of benefits held on behalf of resident
assistance groups and for all overpayments that occur while acting as an
authorized representative. However, the group living arrangement is not
responsible for any misrepresentation or intentional program violation when a
resident has made application on their own behalf. The resident applying on
their own behalf
is responsible for overpayments as would any
other assistance group.
(J) What
is the group
living arrangement to do with the remaining
benefits when an assistance group leaves?
(1)
When no benefits have been spent on behalf of the individual assistance group,
the facility is to return the full value of any benefits already debited from
the assistance group's current monthly allotment back into the assistance
group's EBT account at the time the individual leaves the facility. These
procedures are applicable at any time during the month.
(2) When the benefits have already been
debited from the EBT account and any portion spent on behalf of the assistance
group, the following procedures are to be followed:
(a) When the benefits have already been
issued and the assistance group leaves the group living arrangement, prior to
the sixteenth day of the month, the facility is to provide the assistance group
with one half of its monthly allotment.
(b) When the assistance group leaves on or
after the sixteenth day of the month and benefits have already been debited and
used, the assistance group does not receive any benefits.
(3) The group living arrangement
is to,
when possible, provide the assistance group with a change report form to report
the change of address and any other change in circumstances after leaving the
group living arrangement. The group living arrangement
is to
also advise the assistance group to return the form to the appropriate county
agency within the timeframe outlined in rule
5101:4-7-01 of the
Administrative Code.
(4) The group
living arrangement
is to notify the county agency when the
assistance group leaves by sending a completed JFS 04196, "Food Assistance
Change Reporting" to the agency informing the agency of the assistance group's
change in address, new address when available, and that the group living
arrangement is no longer the assistance group's authorized
representative.
(5) The group
living arrangement is to return any EBT cards not provided to departing
residents at the end of each month to the county agency.
(K) Can a group living arrangement redeem
SNAP benefits?
Under the USDA FNS regulations, the only way a group living
arrangement can redeem benefits is when the group living arrangement is
certified as a retail food store. To become an authorized SNAP retailer the
group living arrangement is to:
(1)
Contact USDA FNS to apply to become a retailer.
(2) The group living arrangement authorized
by USDA FNS as a retail food store may be penalized or disqualified when it is
determined administratively or judicially that benefits were misappropriated or
used for purchases that did not contribute to a certified assistance group's
meals.
(L) What should a
county agency do when it believes a group living arrangement is inappropriately
using benefits?
The county agency is to:
(1)
Promptly notify USDA FNS that an organization or institution is misusing
benefits in its possession. However, the county agency
is to
take no action prior to USDA FNS action against the organization or
institution.
(2) When the USDA FNS
disqualifies the group living arrangement as an authorized retail food store,
the county agency
is to suspend the authorized representative
status for the same time; but residents applying on their own behalf will still
be able to participate when otherwise eligible.
(3) Establish a claim for overpayment when an
overpayment is discovered during an investigation or hearing procedure for
redemption violations in accordance with paragraph (I)(5) of this
rule.