This week, the Ohio Department of Medicaid followed up on its August 19 guidance to nursing facilities (NFs) currently approved for the NF Private Room Incentive Payment. The earlier guidance informed them of the need to submit documentation to verify compliance with the July 1, 2025 requirements for continued participation in the program.
The submission portal is now open and can be accessed here.
NFs that meet the compliance requirements will remain eligible to bill the incentive rates for approved private rooms. Facilities that do not meet the requirements or fail to submit their information on time will lose their eligibility and will no longer be able to bill for or receive the private room incentive payment for dates of service on or after July 1, 2025. However, providers will be permitted to reapply once compliant, as long as funding is still available.
Additional information is available online at: NF Private Room Fact Sheet.