Ohio Medicaid Administrative Study Council

About the Council:

Criteria For The Future Organization
Structure Recommendations

• Budget responsibility and authority to spend or create policy should be placed in the same organizational entity and with the same administrator.
   
• Billing, processing and payment pathways should be simple and straight forward.
   
• Departmental scope of services should minimize conflicts between functions.
   
• The new department should be organized using contemporary balanced design, flat structures and appropriate spans of control.
   
• Staff functions should not be duplicated in each department.
   
• Purchasing power should be concentrated so the State can control costs in each market.
   
• Information Technology systems should use the best/most appropriate practices of both government and commercial sectors.
   
• Establish an internal auditing function governed by Generally Accepted Government Auditing Standards (GAGAS) to provide fiscal as well as operational reviews and reports to management and other entities with oversight jurisdiction.