Ohio Revised Code
Chapter 5123 | Department of Developmental Disabilities
Section 5123.01 | Department of Developmental Disabilities Definitions.

Effective: October 17, 2019
Latest Legislation: House Bill 166 - 133rd General Assembly
As used in this chapter:
(A) "Chief medical officer" means the licensed physician appointed by the managing officer of an institution for persons with intellectual disabilities with the approval of the director of developmental disabilities to provide medical treatment for residents of the institution.
(B) "Chief program director" means a person with special training and experience in the diagnosis and management of persons with developmental disabilities, certified according to division (C) of this section in at least one of the designated fields, and appointed by the managing officer of an institution for persons with intellectual disabilities with the approval of the director to provide habilitation and care for residents of the institution.
(C) "Comprehensive evaluation" means a study, including a sequence of observations and examinations, of a person leading to conclusions and recommendations formulated jointly, with dissenting opinions if any, by a group of persons with special training and experience in the diagnosis and management of persons with developmental disabilities, which group shall include individuals who are professionally qualified in the fields of medicine, psychology, and social work, together with such other specialists as the individual case may require.
(D) "Education" means the process of formal training and instruction to facilitate the intellectual and emotional development of residents.
(E) "Habilitation" means the process by which the staff of the institution assists the resident in acquiring and maintaining those life skills that enable the resident to cope more effectively with the demands of the resident's own person and of the resident's environment and in raising the level of the resident's physical, mental, social, and vocational efficiency. Habilitation includes but is not limited to programs of formal, structured education and training.
(F) "Health officer" means any public health physician, public health nurse, or other person authorized or designated by a city or general health district.
(G) "Home and community-based services" means medicaid-funded home and community-based services specified in division (A)(1) of section 5166.20 of the Revised Code provided under the medicaid waiver components the department of developmental disabilities administers pursuant to section 5166.21 of the Revised Code. Except as provided in section 5123.0412 of the Revised Code, home and community-based services provided under the medicaid waiver component known as the transitions developmental disabilities waiver are to be considered to be home and community-based services for the purposes of this chapter, and Chapters 5124. and 5126. of the Revised Code, only to the extent, if any, provided by the contract required by section 5166.21 of the Revised Code regarding the waiver.
(H) "ICF/IID" and "ICF/IID services" have the same meanings as in section 5124.01 of the Revised Code.
(I) "Indigent person" means a person who is unable, without substantial financial hardship, to provide for the payment of an attorney and for other necessary expenses of legal representation, including expert testimony.
(J) "Institution" means a public or private facility, or a part of a public or private facility, that is licensed by the appropriate state department and is equipped to provide residential habilitation, care, and treatment for persons with intellectual disabilities.
(K) "Licensed physician" means a person who holds a valid license issued under Chapter 4731. of the Revised Code authorizing the person to practice medicine and surgery or osteopathic medicine and surgery, or a medical officer of the government of the United States while in the performance of the officer's official duties.
(L) "Managing officer" means a person who is appointed by the director of developmental disabilities to be in executive control of an institution under the jurisdiction of the department of developmental disabilities.
(M) "Medicaid case management services" means case management services provided to an individual with a developmental disability that the state medicaid plan requires.
(N) "Intellectual disability" means a disability characterized by having significantly subaverage general intellectual functioning existing concurrently with deficiencies in adaptive behavior, manifested during the developmental period.
(O) "Person with an intellectual disability subject to institutionalization by court order" means a person eighteen years of age or older with at least a moderate level of intellectual disability and in relation to whom, because of the person's disability, either of the following conditions exists:
(1) The person represents a very substantial risk of physical impairment or injury to self as manifested by evidence that the person is unable to provide for and is not providing for the person's most basic physical needs and that provision for those needs is not available in the community;
(2) The person needs and is susceptible to significant habilitation in an institution.
(P) "Moderate level of intellectual disability" means the condition in which a person, following a comprehensive evaluation, is found to have at least moderate deficits in overall intellectual functioning, as indicated by a full-scale intelligence quotient test score of fifty-five or below, and at least moderate deficits in adaptive behavior, as determined in accordance with the criteria established in the fifth edition of the diagnostic and statistical manual of mental disorders published by the American psychiatric association.
(Q) "Developmental disability" means a severe, chronic disability that is characterized by all of the following:
(1) It is attributable to a mental or physical impairment or a combination of mental and physical impairments, other than a mental or physical impairment solely caused by mental illness, as defined in division (A) of section 5122.01 of the Revised Code.
(2) It is manifested before age twenty-two.
(3) It is likely to continue indefinitely.
(4) It results in one of the following:
(a) In the case of a person under three years of age, at least one developmental delay, as defined in rules adopted under section 5123.011 of the Revised Code, or a diagnosed physical or mental condition that has a high probability of resulting in a developmental delay, as defined in those rules;
(b) In the case of a person at least three years of age but under six years of age, at least two developmental delays, as defined in rules adopted under section 5123.011 of the Revised Code;
(c) In the case of a person six years of age or older, a substantial functional limitation in at least three of the following areas of major life activity, as appropriate for the person's age: self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living, and, if the person is at least sixteen years of age, capacity for economic self-sufficiency.
(5) It causes the person to need a combination and sequence of special, interdisciplinary, or other type of care, treatment, or provision of services for an extended period of time that is individually planned and coordinated for the person.
"Developmental disability" includes intellectual disability.
(R) "State institution" means an institution that is tax-supported and under the jurisdiction of the department of developmental disabilities.
(S) "Residence" and "legal residence" have the same meaning as "legal settlement," which is acquired by residing in Ohio for a period of one year without receiving general assistance prior to July 17, 1995, under former Chapter 5113. of the Revised Code, without receiving financial assistance prior to December 31, 2017, under former Chapter 5115. of the Revised Code, or assistance from a private agency that maintains records of assistance given. A person having a legal settlement in the state shall be considered as having legal settlement in the assistance area in which the person resides. No adult person coming into this state and having a spouse or minor children residing in another state shall obtain a legal settlement in this state as long as the spouse or minor children are receiving public assistance, care, or support at the expense of the other state or its subdivisions. For the purpose of determining the legal settlement of a person who is living in a public or private institution or in a home subject to licensing by the department of job and family services, the department of mental health and addiction services, or the department of developmental disabilities, the residence of the person shall be considered as though the person were residing in the county in which the person was living prior to the person's entrance into the institution or home. Settlement once acquired shall continue until a person has been continuously absent from Ohio for a period of one year or has acquired a legal residence in another state. A woman who marries a man with legal settlement in any county immediately acquires the settlement of her husband. The legal settlement of a minor is that of the parents, surviving parent, sole parent, parent who is designated the residential parent and legal custodian by a court, other adult having permanent custody awarded by a court, or guardian of the person of the minor, provided that:
(1) A minor female who marries shall be considered to have the legal settlement of her husband and, in the case of death of her husband or divorce, she shall not thereby lose her legal settlement obtained by the marriage.
(2) A minor male who marries, establishes a home, and who has resided in this state for one year without receiving general assistance prior to July 17, 1995, under former Chapter 5113. of the Revised Code or assistance from a private agency that maintains records of assistance given shall be considered to have obtained a legal settlement in this state.
(3) The legal settlement of a child under eighteen years of age who is in the care or custody of a public or private child caring agency shall not change if the legal settlement of the parent changes until after the child has been in the home of the parent for a period of one year.
No person, adult or minor, may establish a legal settlement in this state for the purpose of gaining admission to any state institution.
(T)(1) "Resident" means, subject to division (T)(2) of this section, a person who is admitted either voluntarily or involuntarily to an institution or other facility pursuant to section 2945.39, 2945.40, 2945.401, or 2945.402 of the Revised Code subsequent to a finding of not guilty by reason of insanity or incompetence to stand trial or under this chapter who is under observation or receiving habilitation and care in an institution.
(2) "Resident" does not include a person admitted to an institution or other facility under section 2945.39, 2945.40, 2945.401, or 2945.402 of the Revised Code to the extent that the reference in this chapter to resident, or the context in which the reference occurs, is in conflict with any provision of sections 2945.37 to 2945.402 of the Revised Code.
(U) "Respondent" means the person whose detention, commitment, or continued commitment is being sought in any proceeding under this chapter.
(V) "Working day" and "court day" mean Monday, Tuesday, Wednesday, Thursday, and Friday, except when such day is a legal holiday.
(W) "Prosecutor" means the prosecuting attorney, village solicitor, city director of law, or similar chief legal officer who prosecuted a criminal case in which a person was found not guilty by reason of insanity, who would have had the authority to prosecute a criminal case against a person if the person had not been found incompetent to stand trial, or who prosecuted a case in which a person was found guilty.
(X) "Court" means the probate division of the court of common pleas.
(Y) "Supported living" and "residential services" have the same meanings as in section 5126.01 of the Revised Code.

Structure Ohio Revised Code

Ohio Revised Code

Title 51 | Public Welfare

Chapter 5123 | Department of Developmental Disabilities

Section 5123.01 | Department of Developmental Disabilities Definitions.

Section 5123.011 | Adoption of Rules.

Section 5123.012 | Eligibility Determinations.

Section 5123.013 | Application of Chapter.

Section 5123.014 | Reference to Department or Director and Other Terms.

Section 5123.02 | Duties of Department.

Section 5123.021 | Determining Need for Nursing Facility Care.

Section 5123.022 | State Policy Regarding Community Employment for Individuals With Developmental Disabilities.

Section 5123.023 | Employment First Task Force.

Section 5123.024 | Implementation of Early Intervention Services Program.

Section 5123.025 | Technology First Policy.

Section 5123.026 | Technology First Task Force.

Section 5123.03 | Management of Institutions and Facilities.

Section 5123.031 | Nonpartisan Management.

Section 5123.032 | Closure of a Developmental Center.

Section 5123.033 | Department Program Fee Fund.

Section 5123.034 | Developmental Centers Services and Cost Recovery.

Section 5123.04 | Director of Department - Powers and Duties.

Section 5123.042 | Plans for Development or Modification of Residential Services; Rules.

Section 5123.043 | Complaint Resolution.

Section 5123.044 | Determination of Violation of Rights; Assistance to Individuals.

Section 5123.045 | Certification and Licensing of Providers.

Section 5123.047 | Department Payment of Nonfederal Share of Certain Expenditures.

Section 5123.048 | Payment of Nonfederal Share of County Medicaid Expenditures.

Section 5123.049 | Rules Governing the Authorization and Payment of Home and Community-Based Services, Medicaid Case Management Services, and Habilitation Center Services.

Section 5123.0410 | Individual Receiving Services Moving to New County.

Section 5123.0411 | Mandamus.

Section 5123.0412 | Oddd Administration and Oversight Fund.

Section 5123.0413 | Rules to Applicable in Event County Tax Levy for Services for Individuals With Developmental Disabilities Fails.

Section 5123.0414 | Methods of Notice by Department.

Section 5123.0415 | Notification of Change of Address.

Section 5123.0416 | Expenditure and Allocation of Appropriated Fees.

Section 5123.0417 | Programs for Person Under 22 With Intensive Behavioral Needs.

Section 5123.0418 | Additional Uses of Funds.

Section 5123.0419 | Interagency Workgroup on Autism.

Section 5123.0420 | Training and Certification Program for Individuals Who Provide Evidence-Based Interventions to Individuals With an Autism Spectrum Disorder.

Section 5123.0421 | Rules to Implement Part C Early Intervention Services Program.

Section 5123.0422 | Early Intervention Services Advisory Council.

Section 5123.0423 | Request for Student Data Verification Code.

Section 5123.0424 | Reimbursement of Travel Expenses of Official Members of Workgroups.

Section 5123.05 | Audits of Services and Programs.

Section 5123.051 | Payment Agreements With Providers.

Section 5123.06 | Divisions of Department.

Section 5123.07 | Bureau of Research - Duties.

Section 5123.08 | Classified and Unclassified Appointments.

Section 5123.081 | Criminal Records Check.

Section 5123.09 | Managing Officer of Institution - Powers and Duties.

Section 5123.091 | Changing Purpose and Use of Institutions.

Section 5123.092 | Citizen's Advisory Council.

Section 5123.093 | Duties of Citizen's Advisory Council.

Section 5123.10 | Bond of Employees.

Section 5123.11 | Residency Medical and Psychological Training Programs.

Section 5123.12 | Residency Training Programs for Students Enrolled in Appropriate Care Programs.

Section 5123.122 | Support Rate.

Section 5123.13 | Special Police Officers.

Section 5123.14 | Investigations.

Section 5123.15 | Appointing Special Agents and Persons.

Section 5123.16 | Valid Supported Living Certificate Required.

Section 5123.161 | Application for Supported Living Certificate.

Section 5123.162 | Applicant Survey to Determine if Standards Met.

Section 5123.163 | Term of Supported Living Certificate.

Section 5123.164 | Renewal of Supported Living Certificate.

Section 5123.165 | Provision of Supported Living and Residence.

Section 5123.166 | Adjudication Order Against Certificate Applicant or Holder.

Section 5123.167 | Reapplication After Negative Adjudication on Certificate.

Section 5123.168 | Termination of Certificate for Failure to Bill for Services.

Section 5123.169 | Issuance of Supported Living Certificate.

Section 5123.1610 | Termination or Refusal of Provider Agreement for Supported Living.

Section 5123.1611 | Rules Governing Supported Living Program.

Section 5123.1612 | Summary Order Suspending Supported Living Certificate Holder's Authority to Provide Supported Living.

Section 5123.17 | Care Outside Institution.

Section 5123.171 | Respite Care Services.

Section 5123.18 | Contracts With Person or Agency to Provide Services.

Section 5123.19 | Operation of Residential Facilities.

Section 5123.191 | Appointing Receiver to Operate Residential Facility.

Section 5123.192 | Licensing for Icf/iid After 7/1/2013.

Section 5123.193 | Searchable Database of Vacancies in Licensed Residential Facilities.

Section 5123.194 | Waiving Support Collection Requirements to Facilitate Independent Living.

Section 5123.195 | Reporting Implementation of Amendments to Statute.

Section 5123.196 | Maximum Number of Beds.

Section 5123.197 | Initial Residential Facility License or Modification of Existing Facility License Not Required in Certain Instances.

Section 5123.198 | Reduction in Number of Residents.

Section 5123.20 | Prohibiting Operation Without License.

Section 5123.21 | Transfers.

Section 5123.22 | Appropriating Property.

Section 5123.221 | Cultivating Land - Purchases From Other Institutions.

Section 5123.24 | Businesses Located Near Institutions.

Section 5123.25 | Purchasing Supplies.

Section 5123.26 | Funds.

Section 5123.27 | Holding Property in Trust.

Section 5123.28 | Handling Funds Belonging to Residents.

Section 5123.29 | Industrial and Entertainment Fund - Commissary Fund.

Section 5123.30 | Books and Accounts.

Section 5123.31 | Confidentiality.

Section 5123.33 | Annual Report.

Section 5123.34 | Liberal Construction of Chapter.

Section 5123.35 | Ohio Developmental Disabilities Council.

Section 5123.351 | Eligibility for State Reimbursement of Expenses Incurred by Facilities and Programs.

Section 5123.352 | Community Developmental Disabilities Trust Fund.

Section 5123.36 | State Participation in Developmental Disability Construction Programs.

Section 5123.37 | Application to Sell Facility and Acquire Replacement.

Section 5123.371 | Payment to Director After Sale of Facility.

Section 5123.372 | Deadline for Acquisition of Replacement Facility.

Section 5123.373 | Agreement to Pay Percentage of Cost of Acquisition.

Section 5123.374 | Rescission of Approval of Application.

Section 5123.375 | Developmental Disabilities Community Capital Replacement Fund.

Section 5123.376 | Changing Terms of Agreement Regarding Construction, Acquisition, or Renovation of Residential Facility.

Section 5123.377 | Authority to Change Terms of Agreement Regarding the Construction, Acquisition, or Renovation of Community Adult Facility.

Section 5123.378 | Authority to Change Terms of Agreement Regarding the Construction, Acquisition, or Renovation of Community Early Childhood Facility.

Section 5123.38 | Effect of Transfer From Supported Services to Commitment to Icf/iid.

Section 5123.39 | Patient Clothing.

Section 5123.40 | Services Fund for Individuals With Developmental Disabilities.

Section 5123.41 | Administration of Prescribed Medications, Performance of Health-Related Activities, Tube Feeding Definitions.

Section 5123.42 | Authorization for Workers to Administer Prescribed Medications, Perform Health-Related Activities, or Perform Tube Feedings.

Section 5123.421 | Complaints and Investigations.

Section 5123.422 | Immunity.

Section 5123.43 | Training Courses for Administration of Prescribed Medications and Performance of Health-Related Activities.

Section 5123.44 | Training Registered Nurses to Provide Training Courses for Department Personnel.

Section 5123.441 | Certificates to Provide Training Courses.

Section 5123.45 | Program for Issuing of Certificates.

Section 5123.451 | Registry Listing Personnel and Registered Nurses Holding Valid Certificates.

Section 5123.452 | Adjudication Orders.

Section 5123.46 | Rules Adopted in Conjunction With Board of Nursing and the Ohio Nurses Association.

Section 5123.47 | Authorizing In-Home Worker to Perform Health Care Tasks.

Section 5123.50 | Registry of Employees Guilty of Abuse, Neglect or Misappropriation Definitions.

Section 5123.51 | Reviewing Report of Abuse, Neglect or Misappropriation.

Section 5123.52 | Registry of Employees Guilty of Abuse, Neglect or Misappropriation.

Section 5123.53 | Petitioning for Removal From Registry.

Section 5123.54 | Rehabilitation Standard Rules.

Section 5123.541 | Employees Engaging in Sexual Conduct or Contact With Individual Under Department Care.

Section 5123.542 | Notice Explaining Prohibited Conduct.

Section 5123.55 | Protective Services Definitions.

Section 5123.56 | Statewide System of Protective Service.

Section 5123.57 | Evaluation Before Guardianship or Trusteeship Begins.

Section 5123.58 | Nomination of Protective Services Agency as Guardian, Trustee or Protector.

Section 5123.59 | Bond.

Section 5123.60 | Ohio Protection and Advocacy System.

Section 5123.601 | Access to Information by Staff and Attorneys.

Section 5123.602 | Compensation in Class Action Cases.

Section 5123.603 | Joint Committee to Examine Protection and Advocacy System.

Section 5123.61 | Reporting Abuse, Neglect, and Other Major Unusual Incidents.

Section 5123.611 | Reviewing Report of Abuse, Neglect, or a Major Unusual Incident.

Section 5123.612 | Reporting Unusual Incidents.

Section 5123.613 | Subject of Report or Representative Has Right to Report and Related Records.

Section 5123.614 | Procedure Following Report of Major Unusual Incident.

Section 5123.62 | Rights of Persons With a Developmental Disability.

Section 5123.621 | Legislative Intent Regarding Adult Day Services.

Section 5123.63 | Distributing Copies of Rights.

Section 5123.64 | Enforcement Duties.

Section 5123.65 | Self-Administration of Medication.

Section 5123.651 | Assistance in Self-Administration of Prescribed Medication.

Section 5123.67 | Liberal Construction of Chapter.

Section 5123.69 | Voluntary Admission.

Section 5123.691 | Admission to Specialized Treatment Unit for Minors.

Section 5123.70 | Requesting Release of Voluntary Resident.

Section 5123.701 | Application for Short-Term Care.

Section 5123.71 | Affidavit for Involuntary Institutionalization.

Section 5123.711 | Assessment of Individual's Needs.

Section 5123.72 | Presentation of Case for State.

Section 5123.73 | Notice of Hearing.

Section 5123.74 | Emergency Institutionalization by Probate Court.

Section 5123.75 | Probable Cause Hearing.

Section 5123.76 | Full Hearing.

Section 5123.77 | Temporary Holding.

Section 5123.79 | Discharging Involuntary Resident.

Section 5123.80 | Trial Visits.

Section 5123.801 | Expenses of Trial Visit or Discharge.

Section 5123.81 | Involuntarily Committed Resident Absent Without Leave.

Section 5123.811 | Reporting Change of Location, Death or Condition of Resident.

Section 5123.82 | Application for Habilitation and Care of Discharged Resident.

Section 5123.83 | Civil and Public or Private Employment Rights.

Section 5123.84 | Free Communication With Others by Residents.

Section 5123.85 | Habilitation Plan.

Section 5123.851 | Procedure Upon Discharge.

Section 5123.86 | Consent for Medical Treatment.

Section 5123.87 | Labor or Tasks Performed by Residents.

Section 5123.88 | Writ of Habeas Corpus.

Section 5123.89 | Confidentiality.

Section 5123.90 | Attorney General Duties.

Section 5123.91 | Immunity.

Section 5123.92 | Venue.

Section 5123.93 | Guardianship of Minor.

Section 5123.95 | Transmission of Court Papers.

Section 5123.96 | Payment of Costs, Fees, and Expenses of Proceedings.

Section 5123.97 | Record of Probate Judge.

Section 5123.99 | Penalty.