07/24/2025

Medicaid Confirms: OSA is Optional

On July 23, 2025, the Ohio Department of Medicaid published a Nursing Facility (NF) Fact Sheet that effective immediately the Optional State Assessment (OSA) is no longer required. This change was anticipated following the state budget process, which set a schedule for the transition to PDPM which made the OSA obsolete moving forward. HB96 outlines a plan for two-thirds of the score to be based on a provider’s 1/1/2025 case mix score, while one-third will be based on the nursing component of the patient-driven payment model (PDPM). 

Please visit Medicaid's Nursing Facilities page to view the NF Fact Sheet under the “Case Mix” section.