Foster Care System Case Study

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Until 2017, the Foster Care Delivery structure in Ohio was supervised by the state but administered by the county. The Ohio Department of Job and Family Services (ODJFS) was the single state agency responsible for receiving and allocating all federal grant awards and overseeing the federal and state child welfare programs. ODJFS supervises the 88 county public children service agencies (PCSAs) that deliver the services and benefits to the children in Ohio.
Children in the Foster Care system were under a Medicaid fee-for-service (FFS) model, meaning doctors and hospitals bill the state each time they provide care to the child. In the FFS system, there is limited accountability to providing the best care for the child and ensuring continuity.
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