In 2001, Ohio took historic steps that dramatically improved the availability and quality of home and community based services as an alternative to institutions for people with developmental disabilities. The system was redesigned so thousands more Ohioans could live and work in the community, instead of institutions. Redesign leveraged local levy dollars for use as Medicaid match, enabling an incredible growth in home and community based services with little additional state funding. Governor Kasich's budgets continued and accelerated the system transformation that began in 2001, providing financial incentives to convert institutional beds into community services, supporting community employment, and increasing access to autism services.
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