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Ohio: Developmental Disabilities Service Delivery System Changing

June 30, 2015

Ohio state law began to mandate county boards for developmental disabilities in 1967 in order to create options for people with intellectual and developmental disabilities to receive community-based services instead of being placed in state-run institutions. In the early 2000’s, Ohio designated these county boards as local Medicaid administrative authorities, enabling them to participate in cost-sharing for Medicaid services while ensuring that people with disabilities have a free choice of providers. As the county boards expanded this additional role and responsibilities, they have begun to provide support for employment services, service coordination, and non-medical transportation for adults with disabilities, including services funded through HCBS waivers.