# Ohio Admin. Code 5180:2-44-12: Rule 5180:2-44-12. State adoption maintenance subsidy records

> Ohio · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5180_2_44_12

## Section

- **Citation:** Ohio Admin. Code 5180:2-44-12
- **Heading:** Rule 5180:2-44-12. State adoption maintenance subsidy records
- **Jurisdiction:** Ohio
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Ohio Administrative Code / Agency 5180:2 / Chapter 5180:2-44 / Rule 5180:2-44-12

## Text

119.03 (A) The public children services agency (PCSA) is to 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 is to contain all information applicable to the adoption maintenance subsidy including, but not limited to the following: (1) JFS 01654 "Adoptive Placement Agreement." (2) JFS 01613 "Application for State Adoption Maintenance Subsidy." (3) Copy of the Title IV-E adoption assistance denial to include the JFS 01451 "Title IV-E Adoption Assistance Application," JFS 01451-B "Title IV-E Adoption Assistance Annual Assurance of Legal Responsibility, School Attendance and Eligibility for Continued Medicaid Coverage" and the JFS 07334 "Notice of Denial of Your Application for Assistance." (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." (7) JFS 01614 "Redetermination or Amendment of a State Adoption Maintenance Subsidy." (8) Any JFS 04065 "Prior Notice of the Right to a State Hearing" or JFS 07334, if applicable. (9) JFS 01449 "Determination of Special Needs for Medical, Mental Health or Rehabilitative Care" 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
, 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." (15) JFS 01673 "Assessment for Child Placement (Homestudy)" or JFS 01692 "Application for Adoption of a Foster Child or Sibling Group." Last updated February 9, 2026 at 7:36 PM Supplemental Information Authorized By: 5153.163 Amplifies: 5153.163 , 5153.16 10/15/2029 10/2/1980, 7/1/1990, 5/1/2009

## Nearby sections

- [Ohio Admin. Code 5180:2-44-03 Rule 5180:2-44-03. Public children services agency (PCSA) administration of the state adoption maintenance subsidy program](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5180_2_44_03.md)
- [Ohio Admin. Code 5180:2-44-05.1 Rule 5180:2-44-05.1. Medicaid eligibility for children with special needs](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5180_2_44_05_1.md)
- [Ohio Admin. Code 5180:2-44-05.2 Rule 5180:2-44-05.2. Medicaid eligibility for state adoption subsidy recipient moving from or to Ohio](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5180_2_44_05_2.md)
- [Ohio Admin. Code 5180:2-44-06 Rule 5180:2-44-06. Eligibility for the state adoption maintenance subsidy program](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5180_2_44_06.md)
- [Ohio Admin. Code 5180:2-44-08 Rule 5180:2-44-08. Redetermination and amendment of a state adoption maintenance subsidy](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5180_2_44_08.md)
- [Ohio Admin. Code 5180:2-44-09 Rule 5180:2-44-09. Requirements for the state adoption special services subsidy program approved before July 1, 2004](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5180_2_44_09.md)
- [Ohio Admin. Code 5180:2-44-10 Rule 5180:2-44-10. Suspension of a state adoption maintenance subsidy](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5180_2_44_10.md)
- [Ohio Admin. Code 5180:2-44-11 Rule 5180:2-44-11. Termination of a state adoption maintenance subsidy](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5180_2_44_11.md)
- [Ohio Admin. Code 5180:2-44-12 Rule 5180:2-44-12. State adoption maintenance subsidy records](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5180_2_44_12.md)
- [Ohio Admin. Code 5180:2-44-13 Rule 5180:2-44-13. Administration of the post adoption special services subsidy (PASSS) program](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5180_2_44_13.md)
- [Ohio Admin. Code 5180:2-44-13.1 Rule 5180:2-44-13.1. Eligibility and application process for the post adoption special services subsidy (PASSS) program](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5180_2_44_13_1.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5180_2_44_12. Check the current official text before relying on it. Not legal advice.