Ohio Administrative Code|Rule 5101:2-16-12 | Publicly funded child care program integrity review.

                                                
(A) What is a program integrity
		  review?
A program integrity review carried out for the
		  publicly funded child care program is meant to ensure:
(1) The program is
			 limited to only eligible recipients.
(2) Payments to providers
			 are for actual services provided.
(3) Payments to providers
			 conform to program rules.
(B) Who performs program integrity
		  reviews?
The following entities may perform program
		  integrity reviews for the publicly funded child care program:
(1) The Ohio department
			 of job and family services (ODJFS).
(2) A county department
			 of job and family services.
(3) The Ohio auditor of
			 state.
(4) The Ohio attorney
			 general.
(5) The Ohio inspector
			 general.
(6) The U.S. department of health and
			 human services (HHS).
(7) The HHS office of inspector
			 general.
(8) The U.S. government accountability
			 office.
(9) Any entity working on behalf of ODJFS
			 or the federal government.
(C) Who shall comply with publicly funded
		  child care program integrity reviews?
Child care providers with a provider agreement or
		  who had a provider agreement pursuant to rule 5101:2-16-09 of the
		  Administrative Code, and caretakers determined eligible for publicly funded
		  child care benefits pursuant to rule 5101:2-16-02 of the Administrative Code
		  shall cooperate and participate in reviews conducted by any of the entities
		  listed in paragraph (B) of this rule.
(D) What documentation and records will
		  child care providers be required to provide as part of a program integrity
		  review?
(1) Child care providers
			 shall provide all documentation and records which are required to be maintained
			 by Chapters 3301-32, 3301-37, 5101:2-12, 5101:2-13, 5101:2-14, 5101:2-16 and
			 5101:2-18 of the Administrative Code.
(2) Child care providers
			 shall provide the documents and records listed in paragraph (D)(1) of this rule
			 immediately upon request or no later than fifteen days from the date the child
			 care provider receives notice of the request.
(3) Child care providers
			 shall provide all documentation and records required to be maintained on-site
			 immediately upon request during an on-site review.
(E) What happens if a child care provider
		  fails to comply with a program integrity review request?
If a child care provider fails to comply with a
		  program integrity review request, ODJFS may do both of the following:
(1) Terminate the provider agreement
			 entered into with ODJFS pursuant to rule 5101:2-16-09 of the Administrative
			 Code.
(2) Determine an
			 overpayment for any claims under examination as part of the
			 review.
(F) What happens if ODJFS determines
		  misuse of publicly funded child care or the automated child care system
		  pursuant to rule 5101:2-16-11 of the Administrative Code?
ODJFS may do any of the following:
(1) Recoup all improper
			 payments due to misuse of publicly funded child care.
(2) Terminate the
			 provider agreement entered into with ODJFS pursuant to rule 5101:2-16-09 of the
			 Administrative Code.
(G) If ODJFS terminates a provider agreement pursuant to
		  this rule, when can the provider request a new agreement?
A child care provider whose provider agreement
		  has been terminated pursuant to this rule may not re-enter into a provider
		  agreement for a period of five years from the date of termination.