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06/19/2025

Three New Ways to Prepare for Medicaid PDPM

LeadingAge Ohio is deploying resources for members who are focused on transitioning to the Patient-Driven Payment Model (PDPM) for Medicaid payment. Don’t miss the following three resources to prepare your board, your MDS nurse, and your team! 

For Your Board: “Another Word for Living” Podcast Summarizes PDPM

Are you a senior living leader trying to wrap your mind around the upcoming transition? Or trying to figure out how to explain the transition– and its impact on your budget– to your Board of Directors? 

In this month’s 30-minute episode of LeadingAge Ohio’s podcast, Another Word For Living…, host Susan Wallace sits down with Stephanie DeWees—LeadingAge Ohio’s Quality and Regulatory Specialist for Long-term Care—to unpack Ohio’s shift to the Patient-Driven Payment Model (PDPM). This episode is a “101” on Medicaid case mix, geared to succinctly explaining what case mix is, why we need it, and what your organization needs to do to prepare, to the complete novice. 

From the foundational concepts to the more complex regulatory changes, Stephanie breaks it all down in a clear, practical way. DeWees also highlights valuable resources and upcoming education from LeadingAge Ohio designed to support your organization through this important transition.

Listen here or on any major podcast platform. 

For Your MDS Nurse: June 26 Webinar on Immediate Actions for PDPM Success

Ohio’s Medicaid reimbursement system for nursing facilities is undergoing a major overhaul. The state is moving to a nursing-only Patient Driven Payment Model (PDPM), and House Bill 96 outlines how that shift will be phased in over the next several years. During this member-only call, we’ll walk through the changes that will impact how your Medicaid rate is calculated and what actions you should be taking now as we wind down the second quarter. You’ll also hear how LeadingAge Ohio is preparing to support providers through this change with tailored resources, strategic guidance, and upcoming member initiatives.

The webinar is free to LeadingAge Ohio members, but registration is required.

For Your Team: Reimbursement Collaborative Launches in July

The Reimbursement Collaborative: Strategic Solutions for QIP and PDPM Success helps providers connect the dots between quality performance and payment. Through monthly sessions beginning in July, participants will explore how QIP measures and PDPM classifications align, how to improve documentation to support stronger reimbursement, and how to leverage data to drive outcomes. Each organization will receive facility-specific reports to guide internal strategy and system-level change.

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