Ohio Medicaid’s original plan to keep spending within the budget’s final appropriation level included a one-week payment delay for all providers in June 2018. A one-week payment delay results in one-time Medicaid savings and, because Medicaid pays most claims within ten days, stays well within the 30-day industry standard for prompt payment. However, based on the reforecast, Medicaid has determined that savings are sufficient for the budget to balance without needing the June payment delay. This is particularly important for behavioral health providers to maintain cash flow stability as they transition to managed care in July 2018.