This book is the result of a great teamwork of three colleagues in form of a capstone in graduating for Masters of Public Policy and Management. It focuses in the inherent issue of fiscal decentralization in the Republic of Macedonia. Within the course of the initial period after the decentralization many major shortfalls of the central government, in the implementation of the decentralization, have been identified. Consequently, the purpose of this study is to propose a model for adequate measuring of the effects of the implemented decentralization, and to further use those results for overcoming the identified shortfalls in its implementation.