Medina County Board of DD

What led to this audit?

The Medina County Board of Developmental Disabilities requested a performance audit to ensure it is operating in an efficient and effective manner. County Boards of Developmental Disabilities in Ohio are in a transitional period as they are required to shift to conflict-free case management practices. By 2024, these organizations will no longer directly provide services to clients and will partner with other organizations.

What did we find?

We found that the Medina County Board of Developmental Disabilities maintains operational cash balances and reserves that are in-line with peers and above recommended minimums. The Board would benefit from formal polices that ensure these fund balances do not drop to dangerously low levels.

Generally, we found that the Board is operating in-line with best practices or peer operations. However, we did find some opportunities for increased efficiency or reduced cost in their employee insurance provision and in their case management billing practices.

As the Board continues to shift to conflict free case management, it will want to continue to monitor staffing levels and productivity. This will help ensure that workload is appropriate. Further, efficient case management is a key component of maximizing federal reimbursement through Medicaid.