07/24/2025

Medicaid Shares Last-minute Q&A on Recoupment

Two days ahead of the deadline, the Ohio Department of Medicaid (ODM) shared an  FAQ document to respond to questions they’ve received since sending out the notice regarding claims overpayment and recoupment. On June 25, ODM sent a letter to facilities notifying nursing homes of the Department’s plan to recoup inappropriate payments that were made for a variety of reasons, including duplicative payments and overpayments related to Part B crossover payments, share of cost and non-covered days, among others. Providers were given until July 25 to reconcile hundreds of records and file any reconsiderations. 

LeadingAge Ohio has been fielding questions from members, particularly in instances when recoupments exceed payments received by providers, and has asked the Department of Medicaid for an extension for initial reconsideration requests. If you have concerns about overpayments, please reach out to Susan Wallace at swallace@leadingageohio.org with a summary of concerns.