AHS commends the State of Ohio on the successful transition to a 1634 State. The State continues to work tirelessly to simplify eligibility determination and the move to this new model, authorized in Section 1634 of the Social Security Act, allows for a single determination to be used for Medicaid and SSI. AHS has partnered with Ohio to transition participating individuals to the new delivery system with sensitive outreach and support to one of the State’s most vulnerable populations.  With this initial population successfully transitioned, Ohio can now realize the benefits of simplified determination.