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Posted
September 19, 2025

Ohio Medicaid attorneys ask state Supreme Court to reconsider $1 billion nursing home ruling

Attorneys for Ohio Medicaid are asking the state Supreme Court to reconsider its ruling that the state underpaid nursing homes (Source: “Ohio fights Supreme Court order to pay up to $1 billion to nursing homes,” Cleveland Plain Dealer, Sept. 17).
 
After a unanimous state Supreme Court decision found Ohio underpaid its best nursing homes by as much as $1 billion, the state is pushing back — asking the justices to take another look before it cuts a check.
 
The case centers on a dispute between nursing homes and the Department of Medicaid over how the state is supposed to calculate payments meant to reward “high-quality care.”
 
Nursing homes successfully argued the department got the math wrong, shortchanging them by about $527 million in the 2024–2025 budget and a similar amount in the current one.
 
Attorneys for Ohio say the state didn’t plan to spend that kind of money.
 
“It is difficult to overstate the outsized impact of such issues on the State’s budget and overall financial health,” attorneys for the Ohio Department of Medicaid wrote in their motion for reconsideration. “Given the sheer size of the numbers involved here, it is only appropriate that the Court’s Judgment be stayed.”


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