Complete Story
01/29/2026
ODM Rates to be Posted Friday, but Not as Expected
The Ohio Department of Medicaid (ODM) contacted LeadingAge Ohio on January 28, 2026, to discuss its planned actions related to the recalculated nursing facility rates and back payments.
ODM indicated that the January 1, 2026, rates will not yet reflect the proper recalculation. In addition to the complexity of the calculation—particularly, factoring in changes in ownership and the PDPM phase-in—the Governor also wants to work collaboratively with the General Assembly, since additional appropriations will be necessary to fulfill the state's obligations. The rates are anticipated to be shared with providers and posted on Friday.
The legislature was scheduled to return this week, but was delayed due to weather. Senate lawmakers are now expected to return the week of February 9th, with House and Senate both meeting the following week.
LeadingAge Ohio views this outreach as a constructive and positive step in our dialogue with ODM, and we will continue to engage with the department. At the same time, we are actively educating lawmakers on the urgent need for accurate and timely appropriations to support the agreed-upon rates under the quality incentive program.
As noted in an earlier communication on January 28, LeadingAge Ohio, with direction from our Board of Directors, is preparing to support members should the rate and back payment issues remain unresolved.
We will continue to keep members informed and will share updates as soon as new information becomes available.