As used in sections 3701.021 to 3701.0210 of the Revised Code:

Terms Used In Ohio Code 3701.022

  • Child: includes child by adoption. See Ohio Code 1.59
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Person: includes an individual, corporation, business trust, estate, trust, partnership, and association. See Ohio Code 1.59

(A) “Child or youth with special health care needs” means an Ohio resident who meets the age requirements set forth in division (D) of section 3701.021 of the Revised Code who has an organic disease, defect, or a congenital or acquired medical condition that may hinder the achievement of normal growth and development.

(B) “Provider” means a health professional, hospital, medical equipment supplier, and any individual, group, or agency that is approved by the department of health pursuant to division (C) of section 3701.023 of the Revised Code and that provides or intends to provide goods or services to a child who is eligible for the program for children and youth with special health care needs.

(C) “Service coordination” means case management services provided to children and youth with special health care needs that promote effective and efficient organization and utilization of public and private resources and ensure that care rendered is family-centered, community-based, and coordinated.

(D)(1) “Third party” means any person or government entity other than the following:

(a) A child or youth with special health care needs participating in the program for children and youth with special health care needs or the child or youth’s parent or guardian;

(b) The department or any program administered by the department, including the “Maternal and Child Health Block Grant,” Title V of the “Social Security Act,” 95 Stat. 818 (1981), 42 U.S.C.A. 701, as amended;

(c) The “caring program for children” operated by the nonprofit community mutual insurance corporation.

(2) “Third party” includes all of the following:

(a) Any trust established to benefit a child or youth with special health care needs participating in the program or the child or youth’s family or guardians, if the trust was established after the date the child or youth with special health care needs applied to participate in the program;

(b) That portion of a trust designated to pay for the medical and ancillary care of a child or youth with special health care needs, if the trust was established on or before the date the child or youth with special health care needs applied to participate in the program;

(c) The program awarding reparations to victims of crime established under sections 2743.51 to 2743.72 of the Revised Code.

(E) “Third-party benefits” means any and all benefits paid by a third party to or on behalf of a child or youth with special health care needs participating in the program or the child or youth’s parent or guardian for goods or services that are authorized by the department pursuant to division (B) or (D) of section 3701.023 of the Revised Code.

(F) “Hemophilia program” means the hemophilia program the department of health is required to establish and administer under section 3701.029 of the Revised Code.

Last updated September 21, 2023 at 5:58 PM