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County social services report: foster-care placements and Medicaid costs drive 2024 budget pressure
Summary
Washington County Department of Social Services reported a sharp rise in foster-care and adoption-related expenditures in 2024, citing placement scarcity, higher out-of-area care costs and rising county Medicaid net expenses.
A Washington County social services presenter told the Health and Human Services committee the department’s 2024 fiscal picture reflected several cost pressures—most notably higher foster-care and adoption expenses and rising county Medicaid net costs.
The presenter described a large foster-care expense increase and cited an example of an out-of-area placement that required an elevated one-on-one supplemental rate. “We have another youth right now in a, in a place that we'd had 1 in in the past…
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