12/11/2025

ODM Updates Nursing Home Franchise Permit Fee Procedures

The Ohio Department of Medicaid has published updated guidance for the Nursing Home Franchise Permit Fee, including quarterly due dates, payment methods, and remittance requirements.

What’s new

• Quarterly franchise fee payments must be made by check only; provider offset is not accepted under Ohio Revised Code 5168.51.
• Standard quarterly due dates remain Dec. 15, Feb. 14, May 15, and Aug. 14. The first quarter is due 75 days after the assessment is issued; all others are due 45 days after quarter-end.
• Providers must include the customer number, fee number, and invoice number from the assessment notice on each check and attach the full assessment notice.
• Payments must be mailed to the Treasurer of State of Ohio at the addresses listed in the guidance. Sending payments directly to ODM delays posting.
• Multi-facility organizations must include notices for each facility covered by a single remittance.

Why it matters

• Missing a due date or submitting an incomplete remittance may trigger penalties and processing delays.
• Accurate, timely payments reduce reconciliation issues for organizations operating multiple facilities.
• Clear internal procedures help ensure compliance with Medicaid fiscal requirements.

What to do

• Confirm that finance teams can access franchise fee assessment notices through the provider portal.
• Add all quarterly due dates to internal calendars and allow sufficient mailing time.
• Update remittance templates so staff consistently record the required facility identifiers.
• Standardize a multi-facility payment packet that includes all assessment notices.

Direct questions about payment posting to ODM’s Revenue Management Unit at revenue@medicaid.ohio.gov.