OAC 5122-27

OAC 5122-27 Minimum Requirements for Integrated Clinical Records

This chapter establishes minimum requirements for integrated clinical records for any Ohio provider certified to deliver behavioral health services under OhioMHAS, including opioid treatment programs and class one residential facilities. Providers must create and maintain individual client records containing assessments, treatment plans, progress notes, treatment summaries, and release-of-information authorizations meeting specified content and retention standards. Addiction treatment providers must additionally use ASAM criteria to determine and document appropriate levels of care at admission, continued stay, and discharge. Certain service types (e.g., peer support, prevention, hotlines) are exempt from the full individual-record requirement but must meet alternative documentation standards.

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Chapter 5122-27 
|
 Minimum Requirements for Integrated Clinical Records

Ohio Administrative Code

/

5122 

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Rule

Rule 5122-27-01 
|
 Applicability.

Effective:

August 1, 2026

Promulgated Under:

119.03

PDF:

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(A) Statement of applicability
In general, the rules in this chapter apply to any person or government entity that provides or seeks to provide one or more certifiable services or supports, including (1) a person or government entity that operates or seeks to operate an opioid treatment program, (2) a person or government entity that operates or seeks to operate a class one residential facility as defined in section 
5119.34
 of the Revised Code, and (3) a board of alcohol, drug addiction, and mental health services that is, under section 
340.037
 of the Revised Code, approved by the director to provide any certifiable service or support. Paragraph (B) of this rule contains the exemptions from that general rule and paragraph (D) of this rule sets forth the specific standard that applies to federally-qualified health centers (FQHCs) and FQHC look-alikes.
A person or government entity to whom this chapter applies is referred to as a "provider."
(B) Exemptions
All of the following are exempt from the provisions of this chapter:
(1) In accordance with division (B) of section 
5119.35
 of the Revised Code, an individual who holds a valid license, certificate, or registration issued by this state authorizing the practice of a health care profession that includes the performance of any service that is required to be certified as described in this section, regardless of whether the service is performed as part of a sole proprietorship, partnership, or group practice. 
(2) In accordance with division (B) of section 
5119.35
 of the Revised Code, an individual who provides any service that is required to be certified as described in this section as part of an employment or contractual relationship with a hospital outpatient clinic that is accredited by an accreditation agency or organization approved by the director of behavioral health.
(3) Subject to paragraph (C) of this rule, a person or government entity when the service or support being provided by that person or government entity is any of the following:
(a) Forensic evaluation service as described in rule 
5122-29-07
 of the Administrative Code.
(b) Behavioral health hotline service as described in rule 
5122-29-08
 of the Administrative Code.
(c) Driver intervention program as described in rule 
5122-29-12
 of the Administrative Code.
(d) Peer support services as described in rule 
5122-29-15
 of the Administrative Code, but only if both of the following are the case:
(i) The peer support services are not being utilized as part of a clinical treatment team; and
(ii) The peer support services are not included in a client's individualized treatment plan.
(e) Peer run organization as described in rule 
5122-29-16
 of the Administrative Code.
(f) Consultation service as described in rule 
5122-29-19
 of the Administrative Code.
(g) Prevention services as described in rule 
5122-29-20
 of the Administrative Code.
(h) Referral and information service as described in rule 
5122-29-22
 of the Administrative Code.
(i) Supplemental behavioral health services as described in rule 
5122-29-27
 of the Administrative Code.
(4) A person or government entity where a rule specifically exempts that person or government entity from the rule obligation.
(C) A person or government entity providing a service or support specified in pararaph (B)(3)(a) to (B)(3)(i) of this rule is to comply with the documentation mandates specified in the Chapter 5122-29 of the Administrative Code rule that applies to the specific service or support. In addition, behavioral health hotline service and prevention services are subject to the mandates in rule 
5122-27-02.1
 of the Administrative Code.
(D) Specific standard applicable to federally-qualified health centers (FQHCs) and federally-qualified health center look-alikes (FQHC look-alikes)
(1) An FQHC or FQHC look-alike is subject to the rules in this chapter when the FQHC or FQHC look-alike provides or seeks to provide one or more of the following certifiable services or supports as part of the FQHC or FQHC look-alike designation as "out of scope":
(a) Mental health day treatment as described in rule 
5122-29-06
 of the Administrative Code.
(b) Forensic evaluation service as described in rule 
5122-29-07
 of the Administrative Code.
(c) Behavioral health hotline service as described in rule 
5122-29-08
 of the Administrative Code.
(d) Residential and withdrawal managements substance use disorder services as described in rule 
5122-29-09
 of the Administrative Code.
(e) Substance use disorder qualified residential treatment program (QRTP) for youth as described in rule 
5122-29-09.1
 of the Administrative Code.
(f) Crisis intervention service as described in rule 
5122-29-10
 of the Administrative Code.
(g) Employment service as described in rule 
5122-29-11
 of the Administrative Code.
(h) Driver intervention program as described in rule 
5122-29-12
 of the Administrative Code.
(i) SUD case management services as described in rule 
5122-29-13
 of the Administrative Code.
(j) Mobile response and stabilization service as described in rule 
5122-29-14
 of the Administrative Code.
(k) Peer support services as described in rule 
5122-29-15
 of the Administrative Code.
(l) Peer run organization as described in rule 
5122-29-16
 of the Administrative Code.
(m) Community psychiatric supportive treatment as described in rule 
5122-29-17
 of the Administrative Code.
(n) Therapeutic behavioral health services and psychosocial rehabilitation as described in rule 
5122-29-18
 of the Administrative Code.
(o) Prevention services as described in rule 
5122-29-20
 of the Administrative Code.
(p) Supplemental behavioral health services as described in rule 
5122-29-27
 of the Administrative Code.
(q) Intensive home-based treatment (IHBT) service as described in rule 
5122-29-28
 of the Administrative Code.
(r) Assertive community treatment as described in rule 
5122-29-29
 of the Administrative Code.
(2) An FQHC or FQHC look-alike is not subject to the rules in this chapter when the FQHC or FQHC look-alike provides or seeks to provide one or more of the following certifiable services or supports as part of the FQHC or FQHC look-alike designation as "in scope, other activities," including the provision of medication-assisted treatment as defined in section 
340.01
 of the Revised Code and the prescribing of one or more psychotropic drugs as defined in section 
5119.19
 of the Revised Code:
(a) General services as described in rule 
5122-29-03
 of the Administrative Code.
(b) Consultation service as described in rule 
5122-29-19
 of the Administrative Code.
(c) Referral and information service as described in rule 
5122-29-22
 of the Administrative Code.

Last updated August 3, 2026 at 8:26 AM

Supplemental Information

Authorized By:

R.C. 
5119.36

Amplifies:

R.C. 
5119.36

Five Year Review Date:

8/1/2031

Prior Effective Dates:

1/9/2006, 1/1/2018

Rule 5122-27-02 
|
 Individual client record obligation.

Effective:

August 1, 2026

Promulgated Under:

119.03

PDF:

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(A) Except as provided in rule 
5122-27-02.1
 of the Administrative Code, a provider is to create and maintain an individual client record for each client that contains, at a minimum, all of the following:
(1) Findings from the assessment of the client done by the provider or the provider's contractor, the provider's or contractor's diagnosis of the client, treatment details, progress notes, and any other information the provider or contractor has regarding the client's physical and behavioral health. Consistent with rule 
5122-29-03
 of the Administrative Code, the assessment may have been completed by another provider if that assessment had been completed within the preceding twelve months.
(2) Documentation that the risks and benefits of treatment were explained to the client and documentation of any consent, refusal to consent, or withdrawal of consent that the client gave to the provider. To the extent applicable, consent by minors is to be done in accordance with section 
3719.012
 or 
5122.04
 of the Revised Code.
(3) Documentation regarding the service fees the provider charges and whether the client or the client's parent or guardian is responsible for payment of any portion not covered by insurance or another funding source.
(4) Documentation that the provider gave the client or the client's parent all of the following:
(a) The provider and client expectations, for example, mandatory attendance, maintaining a sober living environment, and the consequences of not fulfilling the expectations.
(b) In accordance with 42 C.F.R. 2.22, notice that federal laws and regulations protect the confidentiality of certain client records and a summary of those federal laws and regulations.
(5) A copy of each authorization for release of information signed by the client.
(6) If the client attended educational sessions pertaining to substance use disorders, documentation verifying attendance at such sessions.
(7) If the client receives certifiable services or supports via telehealth, the provider is to communicate the potential risks to the client with a minimum of the following:
(a) Clinical aspects of receiving telehealth services;
(b) Security considerations when receiving telehealth services; and
(c) Confidentiality considerations when receiving telehealth services.
(B) In addition to meeting the recordkeeping mandates in paragraph (A) of this rule, a provider that provides general services as defined in rule 
5122-29-03
 of the Administrative Code is to maintain, as part of the individual client record, documentation regarding the medical activities of the services, including documentation regarding prescriptions issued and reviews of test results.
(C) Except as provided in rule 
5122-27-02.1
 of the Administrative Code, a provider is to maintain records concerning certifiable services or supports for one of the following time periods, as applicable:
(1) If the client initiated certifiable services or supports with the provider on or after the client's eighteenth birthday, seven years after a client was discharged from a program or certifiable services or supports are no longer provided;
(2) If the client initiated certifiable services or supports with the provider before the client's eighteenth birthday and the client was not diagnosed with a developmental disability or severe emotional disturbance before the client's eighteenth birthday, the later of (a) seven years after the client was discharged from a program or certifiable services or supports are no longer provided or (b) until the client's twenty-fifth birthday; or
(3) If the client initiated certifiable services or supports with the provider before the client's eighteenth birthday and the client was diagnosed with a developmental disability or severe emotional disturbance, the later of (a) seven years after the client was discharged from a program or certifiable services or supports are no longer provided or (b) until the client's twenty-eighth birthday.

Last updated August 3, 2026 at 8:37 AM

Supplemental Information

Authorized By:

R.C. 
5119.36

Amplifies:

R.C. 
5119.36

Five Year Review Date:

8/1/2031

Prior Effective Dates:

4/1/2016

Rule 5122-27-02.1 
|
 Other recordkeeping obligations.

Effective:

August 1, 2026

Promulgated Under:

119.03

PDF:

Download Authenticated PDF

This rule governs how providers are to maintain records for behavioral health hotline services as defined in rule 
5122-29-08
 of the Administrative Code and prevention services as defined in rule 
5122-29-20
 of the Administrative Code. Maintenance of records mandates for forensic evaluation service and driver intervention program are addressed in rule 
5122-29-07
 and rule 
5122-29-12
 of the Administrative Code, respectively.
(A) A provider that provides behavioral health hotline service as defined in rule 
5122-29-08
 of the Administrative Code is to maintain a log of all telephone calls. At a minimum, the log is to contain all of the following information:
(1) The reason for the call;
(2) The problem presented during the call;
(3) The disposition of the call and whether any referrals were made;
(4) The date and time of the call;
(5) The person receiving the call; and
(6) The name of the caller, if given.
(B) A provider is to maintain a log described in paragraph (A) for seven years.
(C) A provider that provides prevention services as defined in rule 
5122-29-20
 of the Administrative Code is to maintain documentation for each occasion that prevention services are provided. At a minimum, the documentation for each occasion is to include all of the following:
(1) The date prevention services were provided;
(2) The location where prevention services were provided;
(3) The approximate number of individuals who received prevention services;
(4) The types of evidence-based prevention strategies used, as described in rule 
5122-29-20
 of the Administrative Code;
(5) Whether direct services or indirect services were provided, as defined in rule 
5122-29-20
 of the Administrative Code; 
(6) A description of the interventions used as referenced in paragraph (C)(2) of rule 
5122-29-20
 of the Administrative Code; and
(7) The signature of the individual who is qualified to provide prevention services in accordance with rule 
5122-29-20
 of the Administrative Code.
(D) A provider is to maintain documentation regarding prevention services for at least three years from the date of service.

Last updated August 3, 2026 at 8:37 AM

Supplemental Information

Authorized By:

R.C. 
5119.36

Amplifies:

R.C. 
5119.36

Five Year Review Date:

8/1/2031

Rule 5122-27-03 
|
 Treatment planning.

Effective:

August 1, 2026

Promulgated Under:

119.03

PDF:

Download Authenticated PDF

(A) A provider mandated by rule 
5122-27-02
 of the Administrative Code to maintain an individualized client record for a certified service is to develop a comprehensive individualized treatment plan for each client. The provider may also develop an initial individualized treatment plan for each client but it is not mandatory.
(B) If a provider chooses to develop an initial individualized treatment plan, both of the following conditions apply:
(1) The initial individualized treatment plan is to document the immediate needs of the client and is to include the items specified in paragraphs (C)(1) and (C)(3) of this rule, along with both of the following:
(a) The signature and date of signature of the provider staff member responsible for developing the initial individualized treatment plan.
(b) The signature and date of signature of the supervisor of the staff member described in paragraph (B)(1)(a) of this rule or, alternatively, other documentation satisfactory to the department that there has been clinical supervision over the development of the plan.
(2) The initial individualized treatment plan is to be developed not later than seven days after completion of the client's initial assessment or at the time of the provider's first face-to- face contact with the client following the initial assessment, whichever is later. The first face-to-face contact may be done through telehealth in accordance with rule 
5122-26-22
 of the Administrative Code.
(C) A comprehensive individualized treatment plan, at a minimum, is to contain all of the following:
(1) A description of the client's specific assessed mental health or addiction services needs and recovery supports, including how the services or supports will be provided by the provider or referred by that provider to another appropriate provider.
(2) The client's anticipated treatment goals and objectives, determined through a collaborative process and mutually agreed to by the provider and client. If the provider and client are unable to mutually agree on the goals and objectives, the reason for the disagreement is to be documented in the individualized client record.
(3) The name of and a description of each service to be provided to the client, except when the service to be provided is crisis intervention service as defined in rule 
5122-29-10
 of the Administrative Code.
(4) The frequency of the treatment services or support to be received by the client and the duration of treatment services (e.g., once a week for six months, etc.).
(5) Documentation that the comprehensive individualized treatment plan has been reviewed with the client and, if appropriate, the client's family members, parents, legal guardians or custodians, or significant others.
(6) If applicable, a notation that the client is unable to or refuses to participate in service, support, and treatment planning and the reason for that fact.
(7) The signature, date of signature, and credentials of the provider staff member responsible for developing the comprehensive individualized treatment plan, as well as the signature, date of signature, and credentials of the individual who provided clinical supervision over the staff member who developed the plan. For purposes of this subparagraph, a signature may be handwritten or any of the following forms:
(a) A code consisting of a combination of letters, numbers, characters, or symbols that is adopted or executed by an individual as that individual's electronic signature;
(b) A computer-generated signature code created for an individual; or
(c) An electronic image of an individual's handwritten signature created by using a pen computer.
(8) If the client is receiving addiction services treatment, the American society of addiction medicine (ASAM) level of care which has been determined clinically appropriate to meet the needs of the client.
(D) An addiction treatment case management plan of care is based upon the diagnostic assessment or upon a separate case management assessment.
(E) A comprehensive individualized treatment plan is to be completed not later than the end of the client's fifth session or one month after the client was admitted, whichever occurs sooner, except when otherwise specified in Chapter 5122-29 of the Administrative Code.
(F) A comprehensive individualized treatment plan is to be reviewed under any of the following circumstances:
(1) When a client receives a new service or support or discontinues receiving a service or support.
(2) When the provider believes review is clinically indicated.
(3) When there is a change in the client's addiction treatment level of care, excluding a change in sub-levels (e.g., a change from ASAM level 3.5 to level 3.1 does not mandate a review of the plan).
(4) When requested by the client.
(5) When twelve months has elapsed since the last review.
(6) Every ninety days, if the client is receiving residential and withdrawal management substance use disorder services as described in rule 
5122-29-09
 of the Administrative Code or SUD case management services as described in rule 
5122-29-13
 of the Administrative Code.
(G) The provider is to include the client and, if appropriate, the client's family members, parents, legal guardians or custodians, or significant others in each review of the comprehensive individualized treatment plan and to document, in the plan or the client's clinical record, the name of each person who participated in the plan.
(H) Following the review of a comprehensive individualized treatment plan, the provider is to document the results of the review. The results may indicate that no changes to the plan are necessary or, if changes are necessary, what those changes are. If the client or other individuals described in paragraph (G) of this rule were unable to participate or refused to participate in the review, the provider is to include a notation to that effect in the plan along with the reason for that fact. The results are to be signed and dated by the provider staff member completing the review and that individual's supervisor.

Last updated August 3, 2026 at 8:37 AM

Supplemental Information

Authorized By:

R.C. 
5119.36

Amplifies:

R.C. 
5119.36

Five Year Review Date:

8/1/2031

Prior Effective Dates:

11/7/2019

Rule 5122-27-04 
|
 Progress notes.

Effective:

August 1, 2026

Promulgated Under:

119.03

PDF:

Download Authenticated PDF

(A) A provider is to complete progress notes for each client. The progress notes are to document the degree of a client's progress toward achieving the client's treatment goals specified in the client's initial or comprehensive individualized treatment plan. This documentation may be done through brief narratives or checklists. Regardless of the form, the provider is to ensure that sufficient detail is provided in the progress notes to address all component obligations in paragraph (C) of this rule.
(B) A provider is to document progress notes each time a certifiable service or support is provided (on a "per provision of service basis"), on a daily basis, or on a weekly basis.
(C) All of the following items are to be included as progress notes documentation:
(1) The client's name or identification number;
(2) The type, description, date, time of day, duration, location and, if documenting weekly services, the frequency of treatment, with dates of service;
(3) A description of the client's current symptoms and changes in functional impairment;
(4) Changes in medications taken by or prescribed for the client, when applicable;
(5) The amount of time spent by the provider with the client;
(6) The amount of time spent by the provider in interpreting and reporting on central nervous system assessment testing codes, when applicable;
(7) An assessment of the client's progress and a brief description of the progress made, if any; significant changes in symptoms, functioning, or events in the life of the client; and a recommendation, if applicable, for modifications to the treatment plan;
(8) Evidence of clinical supervision, as needed; and
(9) The signature, date of signature, and credentials of the clinician who prepared the progress notes. The clinician who prepared the daily or weekly progress notes is to be credentialed to provide all services and supports documented in the notes.
For purposes of this paragraph, a signature may be handwritten or in any of the following forms: a code consisting of a combination of letters, numbers, characters, or symbols that is adopted or executed by an individual as that individual's electronic signature; a computer-generated signature code created for an individual; or an electronic image of an individual's handwritten signature created by using a pen computer.
(D) Progress notes are to include documentation to reflect that the certifiable service or support was provided by telehealth.

Last updated August 3, 2026 at 8:37 AM

Supplemental Information

Authorized By:

R.C. 
5119.36

Amplifies:

R.C. 
5119.36

Five Year Review Date:

8/1/2031

Prior Effective Dates:

2/15/2010, 10/31/2019

Rule 5122-27-05 
|
 Treatment summary.

Effective:

August 1, 2026

Promulgated Under:

119.03

PDF:

Download Authenticated PDF

(A) When the provider determines the client is no longer active a treatment summary is to be completed within thirty days. This means the documentation should be finalized and included in the client record within that time frame.
(B) The treatment summary is to include all of the following information:
(1) The client's date of admission.
(2) The date of the client's last receipt of certifiable services or supports from the provider.
(3) The outcome of the service or support provided (i.e., amount of progress or the level of care).
(4) The client's final diagnosis.
(5) The client's American society of addiction medicine (ASAM) third edition level of care at the time of admission and discharge, if applicable.
(6) Any recommendations the provider made to the client associated with the client's comprehensive individualized treatment plan, including recommendations for where to seek crisis care or emergency services or referrals to other community resources.
(7) Medications the provider prescribed to the client upon the client's termination of services or supports.
(8) If the provider terminated the client from services or supports on an involuntary basis, documentation that the provider informed the client of the right to appeal.
(9) The signature and credentials of the provider staff member who prepared the treatment summary with the date of the staff member's signature. For purposes of this subparagraph, a signature may be handwritten or in any of the following forms:
(a) A code consisting of a combination of letters, numbers, characters, or symbols that is adopted or executed by an individual as that individual's electronic signature;
(b) A computer-generated signature code created for an individual; or
(c) An electronic image of an individual's handwritten signature created by using a pen computer.

Last updated August 3, 2026 at 8:37 AM

Supplemental Information

Authorized By:

R.C. 
5119.36

Amplifies:

R.C. 
5119.36

Five Year Review Date:

8/1/2031

Rule 5122-27-06 
|
 Release of information.

Effective:

August 1, 2026

Promulgated Under:

119.03

PDF:

Download Authenticated PDF

(A) Except in the circumstances described in sections 
5119.28
 and 
5122.31
 of the Revised Code when the consent of a current or previous client or that client's parent is not mandated for the disclosure or use of information regarding that current or previous client, a request for information regarding a current or previous client is to be accompanied by an authorization for release of information that complies with this rule.
(B) An authorization for release of information concerning a current or previous client of a part 2 program as defined in 42 C.F.R. 2.11 is to comply with 42 C.F.R. 2.31. Each disclosure made pursuant to such an authorization is to be accompanied by one of the two written statements specified in 42 C.F.R. 2.32(a). As mandated by 42 C.F.R. 2.32(b), each disclosure made with the client's written consent is to be accompanied by a copy of the consent or a clear explanation of the scope of the consent provided.
(C) An authorization for release of information concerning a client not described in paragraph (B) of this rule is to comply with 45 C.F.R. 164.508. Accordingly, an authorization for release of information is to include, but not be limited to, all of the following:
(1) The full name of the client.
(2) The client's date of the birth.
(3) The specific information to be disclosed and the purpose of the disclosure.
(4) The name of the person or government entity to disclose the information.
(5) The name of the person, class of persons, or government entity to receive the information.
(6) The date, event, or condition upon which authorization is to expire.
(7) A statement that the client may revoke the authorization in writing at any time except to the extent the provider, person, or government entity who is to make the disclosure has already acted in reliance on it.
(8) A statement regarding the provider's ability or inability to condition treatment, payment, enrollment, or eligibility for benefits on the client's authorization for the release of information by specifying either that:
(a) The provider is not to condition treatment, payment, enrollment, or eligibility for benefits on whether the individual signs the authorization when the exclusion on conditioning of authorization in 45 C.F.R. 164.508(b)(4) applies; or
(b) The consequences to the client of a refusal to sign the authorization when, in accordance with 45 C.F.R. 164.508(b)(4), the provider can condition treatment, enrollment, or eligibility for benefits on failure to obtain such authorization.
(9) Subject to paragraph (D) of this rule, the dated signature of the client or, as appropriate, a legally authorized agent and the agent's relationship to the client.
(10) A statement regarding the potential for information disclosed pursuant to the authorization to be subject to redisclosure by the recipient and no longer subject to protection under the HIPAA privacy rule as defined in section 
3798.01
 of the Revised Code.
(D) If the client is a minor, both of the following conditions apply with respect to an authorization for release of information:
(1) The authorization for release of information is to be signed by the client's parent except:
(a) When the client is fourteen years of age or older and the client alone gave consent for outpatient mental health services, excluding the use of medication, under the circumstances described in section 
5122.04
 of the Revised Code; or
(b) When the client gave consent for the diagnosis or treatment by a physician of any condition which it is reasonable to believe is caused by a drug of abuse, beer, or intoxicating liquor under the circumstances described in section 
3719.012
 of the Revised Code.
In the circumstances described in paragraphs (D)(1)(a) and (D)(1)(b) of this rule, only the client is to sign the authorization.
(2) In the case of a minor who received addiction treatment services under circumstances not described in section 
3719.012
 of the Revised Code, the authorization for release of information is to be signed by both the client and the client's parent in accordance with 42 C.F.R. part 2.14(b)(1).
(E) Except as provided in 45 C.F.R. 164.508(a)(2)(i) or (ii), a provider is to obtain a separate authorization for release of psychotherapy notes, as that term is defined in 45 C.F.R. 164.501.

Last updated August 3, 2026 at 8:38 AM

Supplemental Information

Authorized By:

R.C. 
5119.36

Amplifies:

R.C. 
5119.36

Five Year Review Date:

8/1/2031

Prior Effective Dates:

9/4/2003, 4/1/2016

Rule 5122-27-07 
|
 Addiction treatment level of care.

Effective:

August 1, 2026

Promulgated Under:

119.03

PDF:

Download Authenticated PDF

(A) The purpose of this rule is to establish criteria for assessing the appropriate level of care for each client receiving certifiable services or supports for substance use disorder treatment.
(B) A provider is to determine level of care at admission, for continued stay, for change in level of care recommendation, and at discharge by conducting a multi-dimensional assessment utilizing the American society of addiction medicine criteria third edition (2013), also known as the "ASAM patient placement criteria."
(C) When a client is placed in or referred to a level of care other than the assessed level of care, a provider is to document the rationale for the placement or referral.

Last updated August 3, 2026 at 8:38 AM

Supplemental Information

Authorized By:

R.C. 
5119.36

Amplifies:

R.C. 
5119.36

Five Year Review Date:

8/1/2031

Prior Effective Dates:

10/31/2019