Due to federal and state mandates every county board in the State of Ohio is directed to no longer directly provide Medicaid HCBS waiver services such as Transportation and Adult Day Services.

We privatized those services in 2017 and 2018 respectively. This move was made so that the focus for County Boards is on the administration of the service and to alleviate any potential conflict of interest regarding Medicaid services. We assess, authorize, provide quality assurance and pay a percentage of these services authorized (up to 40%).

Privatization emphasizes choice, brings more jobs into the community to provide services for the individuals served, and more options of service providers and quality services.