Ohio Revised Code

Ohio Rev. Code § 5121.01 (2026)

Cost for support of patients in hospitals and residents

✓ current as of May 2026
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As used in sections 5121.01 to 5121.21 of the Revised Code:

(A) "Resident" means a person admitted to an institution or other facility pursuant to Chapter 5123. of the Revised Code who is under observation or receiving habilitation and care.

(B) "Applicable cost" means the rate for support applicable to a resident as specified in this section.

The cost for support of residents in institutions under the jurisdiction of the department of developmental disabilities, and of residents in private facilities or homes whose care or treatment is being paid for by the department, shall be based on the average per capita cost of the care and treatment of the residents. The cost of services for residents shall be computed using the projected average daily per capita cost at the institution, or at the discretion of the department, the subunit thereof in which services are provided. Such costs shall be computed at least annually for the next prospective period using generally accepted governmental accounting principles. The cost of services for residents that are being cared for and maintained in a private facility or home under the supervision of the department and for which a purchase of services contract is being paid to the private facility or home by the department shall not be more than the per diem cost of the contract. The cost of services for a resident receiving pre-admission care, after-care, day-care, or routine consultation and treatment services in a community service unit under the jurisdiction of the department shall be computed on the basis of the average cost of such services at the institution at which they are provided.

The department shall annually determine the ability to pay of a resident or the resident's liable relatives and the amount that such person shall pay in accordance with section 5121.04 of the Revised Code.

Collections of support payments shall be made by the department and, subject to meeting prior requirements for payment and crediting of such collections and other available receipts, in accordance with the bond proceedings applicable to obligations issued pursuant to section 154.20 of the Revised Code, such collections and other available receipts designated by the director of developmental disabilities for deposit in the special accounts, together with insurance contract payments provided for in division (B)(8) of section 5121.04 of the Revised Code, shall be remitted to the treasurer of state for deposit in the state treasury to the credit of the developmental disabilities operating fund, which is hereby created, to be used for the general purposes of the department. The department shall make refunds of overpayment of support charges from the developmental disabilities operating fund.

Notes of Decisions
Cited in 3 cases, 1954–1991 · leading case: Bureau of Support in the Dep't of Mental Hygiene & Corr. v. Kreitzer, 243 N.E.2d 83 (Ohio 1968).
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Bureau of Support in the Dep't of Mental Hygiene & Corr. v. Kreitzer, 243 N.E.2d 83 (Ohio 1968). · cites it 4× “) The trustees refused to pay the state on the ground that the fund under its control is unnecessary for Naomi’s maintenance in light of the state’s duty of support under Section 5121.01, Revised Code, and that the state has, in fact, discharged that claimed duty.”
In Re Hoodlet, 593 N.E.2d 478 (Ohio Ct. App. 1991). “23(A)(4), the power of a juvenile court to order civil commitment of a mentally ill delinquent child is governed by R.C. Chapter 5122 rather than the provisions relied upon by appellees and the trial court, i.”
State v. Stevens, 161 Ohio St. (N.S.) 432 (Ohio 1954). · cites it 2× “, General Code (Section 5121.01 et seq., Revised Code), relating to the commitment of mentally ill residents to state institutions.”
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