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Objectives. Participates will learn the following:History and purpose of the Compensation ProgramEligibility RequirementsExpenses eligible for CompensationWhere to go for help and further information. History of Crime Victims Compensation Program . Created in 1976 to provide financial relief to
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1. Ohio Crime Victims Assistance and Prevention
2. Objectives Participates will learn the following:
History and purpose of the Compensation Program
Eligibility Requirements
Expenses eligible for Compensation
Where to go for help and further information
3. History of Crime Victims Compensation Program Created in 1976 to provide financial relief to victims of crime for economic loss incurred as a result of criminally injurious conduct
Revised in July 1, 2000, by SB-153 and since then has been administered by the Ohio Attorney General
Revised July 1, 2003 by SB-89
-Claims processing time reduced from 279 days to 123 days
-Some added benefits to victims of crime that previously did not exist
-Direct pay to providers-Claims processing time reduced from 279 days to 123 days
-Some added benefits to victims of crime that previously did not exist
-Direct pay to providers
4. How is the Compensation Program Funded? Court costs paid by one convicted of a crime
Subrogation efforts
The state may sue the offender to recover monies paid to victim/claimant
The victim or claimant must give the Attorney General’s office written notice of all related lawsuits/settlements
Federal VOCA funds
Reinstatement fees for drivers licenses after OMVI suspension
Ohio taxpayers do not bear program costs -$30 from felony convictions
-$9 from misdemeanor convictions
-$75 from drivers license reinstatement fees
-$30 from felony convictions
-$9 from misdemeanor convictions
-$75 from drivers license reinstatement fees
5. Does a Claimant or Victim Have to Pay an Attorney to Apply?
No, the claimant or victim can apply without an attorney
A Victim Advocate can help gather information and file the claim
Or the program will pay for the attorney
This will not reduce the money the claimant or victim receives!
Maximum attorney fees – for filing the application, is $60 per hour
6. When Must They File? Adult victims must file within 2 years of their victimization.
Child victims or minor dependents of victims (or adult claimants on their behalf) have until their 20th birthday
Child abuse victims can also file within 2 years after their offender is charged with the crime
7. Who may be Eligible? Anyone who is injured as a result of Criminally Injurious Conduct or while trying to prevent Criminally Injurious Conduct
Criminally Injurious Conduct (CIC) is a crime that:
Poses a substantial threat of personal injury or death and is punishable by fine or imprisonment
8. Who may be Eligible
Estate of or dependents of deceased victims of criminally injurious conduct
Those injured trying to prevent criminally injurious conduct or apprehend a person suspected of engaging in criminally injurious conduct
Includes law enforcement officers injured in the line of duty
9. Indirect Victim Requires analysis of three factors:
First:
Was there a close relationship between the applicant and the direct crime victim?
10. Indirect Victim Second:
Did the applicant sustain emotional harm such that it prevented him/her from performing day-to-day activities?
11. Indirect Victim Third:
Did the applicant have a direct awareness of the crime or arrive in its immediate aftermath?
Such as:
Was the applicant present at the scene?
Was the applicant one of the first at the scene?
An indirect victim is considered a separate victim of the crime and should file a separate claim for his or her own victimization
12. Who is not Eligible? Victims and claimants who do not report the crime to law enforcement within 72 hours of the incident
Except if there is good cause for the delay
Almost always an exception for child abuse
Sometimes exceptions for sexual assault and domestic violence, or other crimes
13. Who is not Eligible? Applicant’s injured as a result of motor vehicle offenses except when:
Alcohol or drugs caused the crash, or
Injury was intentional, or
Injury caused by a fleeing felon (includes felony hit and run cases ), or
Both reckless driving and serious physical harm
Failed to stop after an accident and serious physical harm.
14. Who is not Eligible? Victims who engage in contributory misconduct :
Unlawful act or intentional tort related to the incident and to some extent contributing to the incident
Can lead to the complete denial or reduction of an award
Victims and claimants who fail to cooperate with a law enforcement officer or agency
Can lead to the complete denial or reduction of an award
15. Who is not Eligible? Victims and claimants that have been convicted of a felony within 10 years of the criminally injurious conduct or during the pendency of the claim
In homicide cases, minor dependent(s) of the victim are still eligible for dependent’s economic loss and counseling expenses Remember, conviction on these charges is what will disqualify a claimant, not just a charge.Remember, conviction on these charges is what will disqualify a claimant, not just a charge.
16. Who is not Eligible? Victims and claimants convicted of child Endangering (CE) or domestic violence (DV) within 10 years of the criminally injurious conduct or during the pendency of the claim (includes misdemeanor and/or felony convictions)
In homicide cases where only the victim had a CE and/or DV conviction, the claimant is still eligible
17. Who is not Eligible? Victims and claimants who engage in felonious conduct within 10 years of the criminally injurious conduct or during the pendency of the claim
an offense of violence or drug trafficking that would constitute a felony under the law regardless of charge or conviction level
In homicide cases, minor dependent(s) of the victim are still eligible for dependent’s economic loss and counseling expenses
18. Who is not Eligible? A victim that is the offender or an accomplice of the offender who committed the criminally injurious conduct
A victim who is a passenger seeking compensation for injuries caused by the driver when the victim knew or reasonably should have known that the driver was under the influence of alcohol, a drug of abuse, or both
Except, if the victim is a minor and the impaired driver is his or her parent, guardian, or care-provider
Except if the victim is under the age of 16
19. Who Is not Eligible?
An adult victim injured while serving a sentence of imprisonment in any detention facility after being convicted of or pleading guilty to an offense
A victim who knowingly possesses a felony drug at the time of the criminally injurious conduct (includes drugs found in the victim’s system)
20. Expenses Eligible for Compensation. Medical and related expenses
Counseling expenses for victims or household family members
Work loss/lost wages
Unemployment benefits loss
Crime scene cleanup expenses
Includes repair of property damaged at the scene that is necessary for security (ex. doors and windows)
21. Expenses Eligible for Compensation. Evidence replacement expenses
Costs to replace items taken by law enforcement as evidence
Replacement services loss
Expenses reasonably incurred in obtaining ordinary and necessary services in lieu of those the victim would have performed if he or she had not been injured
Includes household chores, providing parenting care to children, etc
22. Expenses Eligible for Compensation. Future loss of support (usually for spouse or minor children) and care of minor children of a deceased victim
Only if the spouse and minor children were receiving financial support from the victim prior to the criminally injurious conduct. They must be the victim’s financial dependents
Funeral and related burial expenses
23. Expenses Eligible for Compensation. Mileage or other transportation expenses for:
Medical/counseling appointments
Family members of a deceased victim to attend criminal proceedings or the funeral
Moving expenses incurred to separate the victim from the offender and/or that are necessary for the victim’s care and rehabilitation (as verified by a mental health care provider)
24. Expenses Eligible for Compensation. Attorney fees incurred to successfully obtain a restraining, custody or other order to physically separate the victim from the offender
These fees could not exceed $2,500, at a rate that does not go beyond $150.00 per hour
25. Ineligible Expenses. Stolen, damaged, or lost property
Except for personal health aids such as glasses that are damaged or destroyed during the criminally injurious conduct
Pain and suffering
Any expense that is payable by collateral sources
Benefits for economic loss that are readily
available to the victim or claimant. The program is a payer of last resort
26. Initial Claims Review. Claims Specialist:
Perform initial review of applications, verifying:
Timely filing
Personal data information present
Medical information releases
Proper signatures and dates
Overall completeness
27. What Review Occurs Then? The Attorney General’s Office then simultaneously conducts a:
Field review
Economic loss review
28. Field Review. Field Specialists verify:
Criminally injurious conduct occurred
It was reported to law enforcement in 72 hours, or good cause reasons for a delay
The victim and claimant did not engage in contributory misconduct
The victim and claimant cooperated with law enforcement
Crime scene cleanup and evidence replacement expenses were incurred
Whether restitution was ordered and/or paid
29. Field Review. Conducts investigation to determine if the victim or claimant has a criminal background that would preclude an award
The criminal history of all victims and claimants are checked through Bureau of Criminal Identity and Investigation (BCI) and the local agency where the crime occurred
30. Economic Loss Review. Economic Loss Specialists:
Verify allowable expenses
Gather medical/counseling records
Verify collateral source information
Calculate expenses
31. When Will a Decision be Made? By statute the Attorney General has up to 120 days to issue a finding of fact and decision
The majority of cases will fall into this category
Extensions of time are made if warranted
-Average for FY 2001 was 123 days
-13% increase in filings 5968 up from 5260-Average for FY 2001 was 123 days
-13% increase in filings 5968 up from 5260
32. Can a Victim or Claimant Appeal? If victim or claimant disagrees with all or part of the Finding of Fact and Decision, he or she may file a Request for Reconsideration
The Attorney General reconsiders the disputed issues and makes a Final Decision in 60 days (extensions may be taken if necessary)
33. Can a Victim or Claimant Appeal? If a victim or claimant disagrees with all or part of the Final Decision, he or she can appeal to a Panel of Three Commissioners. The Panel will hold a hearing and issue an Order affirming or reversing the Attorney General’s Final Decision
Undisputed expenses can be paid immediately
If a victim or claimant disagrees with the Panel’s decision he or she may appeal to a Judge of Court of Claims
64% decrease in appeals requests in FY 2001
121 appeals filed out of 6,190 decisions made64% decrease in appeals requests in FY 2001
121 appeals filed out of 6,190 decisions made
34. What About Future Expenses? Within five years of the last award and in certain circumstances within five years of the last denial, a victim and/or claimant may file a Supplemental Compensation Application for consideration of additional economic loss incurred as a result of the criminally injurious conduct
35. What is the Maximum Award? Up to $50,000.00 for each victim of an incident of criminally injurious conduct The average award for FY 2001 was $2454.09The average award for FY 2001 was $2454.09
36. What is the Maximum Award? Funeral expenses: $7,500.00
Funeral, cremation, burial, flowers, misc.
Includes up to $500 for lost wages/ travel
expenses for family members to attend funeral
Crime scene cleanup expenses $750.00
Replacement expenses for items taken for evidence collection $750.00
37. What is the Maximum Award? Mental health counseling: up to $2,500 per Household family member ($7,500 per claim) in cases of :
Crimes resulting in severe and permanent incapacitating injury resulting in paraplegia or similar life-altering condition
Homicide
Sexual assault
Domestic violence
38. What Is the Maximum Award? Lost wages and travel expenses for family members of a deceased victim to attend criminal proceedings $500.00 per family member; $2,000.00 maximum
No award permitted in any claim where the expenses incurred are less than $50.00
Attorney fees directly related to obtaining a civil or anti-stalking protection order or otherwise separating the victim from the offender $2500.00
39. Attorney Fees for Protection Orders “Allowable expense” includes attorney’s fees not exceeding two thousand five hundred dollars, at a rate not exceeding one hundred fifty dollars per hour, incurred to successfully obtain a restraining order, custody order, or other order to physically separate a victim from an offender, if the attorney has not received payment under section 2743.65 of the Revised Code for assisting a claimant with an application for an award of reparations under sections 2743.51 to 2743.72 of the Revised Code
40. Direct Pay to Providers The program will directly pay outstanding amounts owed to providers of medical, funeral, and other services
The program will directly pay victims and claimants the amounts they have already paid to the providers
41. Emergency Awards A victim or claimant may request an emergency award if:
He or she will suffer undue hardship if immediate economic relief is not granted
It is likely that all the eligibility requirements for a final award will be met
If a victim or claimant is eligible, an emergency award of up to $2,000.00 can usually be paid within 2 weeks of receiving the necessary information
42. Remedial Care and Treatment Agreement. Available when the victim or claimant cannot pay for the services and the provider will not perform the services without pre-payment
The victim or claimant and the provider enter into the Agreement for services to be provided
The Attorney General determines if the expenses are compensable and if the agreement is valid. If so, the Attorney General will issue a decision “pre-approving” the expense (The provider is paid when certification that the services have been rendered is received)
43. How does a Claimant or Victim File? Online at www.ag.state.oh.us
Contact a Victim Advocate in their county.
OR
Contact our office:
Ohio Attorney General’s Office
150 E Gay Street 25th Floor
Columbus, OH 43162
1-800-582-2877
(Postmark = date of filing
(There is no fee to apply)
44. How did we get here? Historically, our office took 120 days to process a claim
Consistently we were asked “Why does this process take so long”?
As we began to look at our process we started to ask ourselves that same question, Why?
45. What should we do about it? We set a goal of cutting our processing time in half
In order to reach this goal, we had to look at our process and be open to thinking outside of the box
The first step was to research other programs that were completing claims with speed and quality
46. What should we do about it? As we talked with program after program, we determined that although successful programs processed some things differently, the one thing that EVERY successful program had in common was their active and powerful relationship with Victim’s Advocates!
47. Team Concept. Our goal is to implement a true team concept
Our office will be available to you to discuss Perfected Claims
Our office will be available to you to help you with any questions that you have related to the compensation program
Our office will be available to you to help you with any other services we have available
48. Team Concept.
On occasion we speak with applicants that need assistance on the local level to meet some of their immediate needs (ex. Finding a counselor and/or shelter). In these situations we may refer the applicant to you as you are the expert in providing full service help in your County
Expand on why victims may need assistance.
A. Emotionally unable to complete the application.
B. Unable to read and/or write.
C. Need explanation of the program (application, appeals, waivers, what’s covered?).
D. Need to find a local counselor.
E. Need to find food and/or shelter.
Expand on why victims may need assistance.
A. Emotionally unable to complete the application.
B. Unable to read and/or write.
C. Need explanation of the program (application, appeals, waivers, what’s covered?).
D. Need to find a local counselor.
E. Need to find food and/or shelter.
49. What is a Perfected Claim? A package including a completed application and all other information necessary to document requested expenses and the criminally injurious conduct
50. Who can file a Perfected Claim? Anyone…
Victim/Claimant
Victim Advocate or
Attorney
But…
We have found that local advocates are essential in the perfected claim process since they are located in each county throughout the state making them more accessible to our applicants in the various counties. They are able to meet with the applicants in person to ensure they have the essential paper work to file a perfected claim
51. Why file a Perfected Claim? To Get Assistance to Victims Faster !!!