At the time of publication, the Ohio Department of Medicaid had yet to post the 1/1/2026 rate packages detailing reimbursement levels for nursing homes, heightening provider anxiety. Typically rate packages are published either a few days before or after the first, though July 1 rate packages that begin a biennial budget typically take weeks to post if there are significant legislative changes made.
In September, the Supreme Court of Ohio ordered Medicaid to begin paying nursing homes according to the letter of the law, and in accordance with arguments made by LeadingAge Ohio and other nursing home associations in its mandamus action. Though the legislature passed a bill shortly thereafter that included language aligning with Medicaid’s interpretation, that language has yet to take effect. This rate setting is the first where Medicaid is compelled to issue higher payments– and it must do so without the General Assembly having made appropriations to support it.
LeadingAge Ohio continues to reach out to colleagues at Medicaid, but they have remained silent on this topic. Questions regarding this issue may be directed to Susan Wallace at swallace@leadingageohio.org. LeadingAge Ohio will follow up with more information as it is available.