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April 15, 2008
 Letter from Ohio Departments of Mental Health, Job & Family Services,
Alcohol & Drug Addiction Services
This memo outlines proposed changes in the Ohio behavioral health system.
The three departments plan to change the financing structure to improve
consumer access and service delivery. A key change in 2008-2009 will be
moving to a fee reimbursement basis, rather than the historic cost-based
reconciliation method. In 2010-2011, the three departments will shift
Medicaid match risk and responsibility to the state level. County boards
will be able to use levy funds to meet local needs rather than using them
to fund Medicaid match.
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OPEN MINDS