Updated
Updated · Fox News · Jun 11
Ohio Lawmakers Approve $875 Million for Nursing Homes After Court Voids Medicaid Payment Formula
Updated
Updated · Fox News · Jun 11

Ohio Lawmakers Approve $875 Million for Nursing Homes After Court Voids Medicaid Payment Formula

2 articles · Updated · Fox News · Jun 11

Summary

  • $875 million in state and federal funds won legislative approval in Ohio to repay nursing homes after the state Supreme Court said Medicaid quality payments were calculated with the wrong formula.
  • The package includes about $310 million from Ohio and $565 million in federal money, covering disputed reimbursements from the 2024-25 budget cycle and heading to Gov. Mike DeWine for signature.
  • The September 2025 ruling found the state underpaid facilities by failing to properly account for residents' medical complexity, especially at homes caring for sicker Medicaid patients.
  • Providers that take the money must waive future legal claims over the formula, ending a fight that Ohio Medicaid had warned could approach $1 billion over two budget cycles.

Insights

How can Ohio fix a system that underpays caregivers by millions while simultaneously losing billions of dollars to widespread Medicaid fraud?
With billions lost to fraud, are Ohio's new anti-fraud measures enough, or is a complete system overhaul the only real solution?