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Senate hearing spotlights nursing-home reimbursement gap tied to federal PDPM change
Summary
LeadingAge Ohio urged the Senate Finance Committee to add a technical fix to the budget to prevent an unintended cut to nursing facility reimbursement tied to the state’s transition from RUGs to PDPM case-mix scoring.
Chair Serino and members of the Senate Finance Committee heard detailed testimony Tuesday that a technical omission in the budget could mean immediate cuts to nursing home reimbursements as Ohio shifts from the RUGs case‑mix system to the federal PDPM system.
The concern, raised by Susan Wallace of LeadingAge Ohio, is that statutory language governing nursing facility reimbursement still refers to the old scoring method. "Right now everything related to nursing home reimbursement is spelled out in the Ohio Revised Code in explicit detail," Wallace told the committee, arguing the department of Medicaid lacks the statutory flexibility to make a conversion administratively.
Wallace said the change would be budget‑neutral in intent but, as…
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