Ohio Medicaid skilled nursing rates

Ohio Medicaid pays $278.44 per day for nursing home stay (daily rate), effective July 1, 2026.

Nursing home stay (daily rate): $278.44per day
Rank among states: —
Registered nurse median wage: $39.67BLS May 2025
Ohio minimum wage: $11.00$11.40 from January 1, 2027

Ohio skilled nursing rates vs other states

Fee-for-service, like-for-like by provider level. Click a rate to open Ohio's official fee schedule.

Service	Provider level	Code	OH rate	Unit	Per hour	Rank	Median across states	Lowest	Highest	States
Nursing home stay (daily rate)	All levels		$278.44	day	—	—	$321.17	$99.90	$419.22	11
Hospice room and board in a nursing home	All levels	Not published					$290.11/day	$196.85	$298.91	4

Nursing home stay (daily rate): where Ohio ranks

States whose published unit can't be converted are left out of the ranking.

#	State	Rate	Unit	Per hour	Effective
1	Colorado	$419.22	—	—	2025-10-01
2	Washington	$373.84	—	—	2026-07-01
3	Maryland	$351.63	—	—	2026-07-01
4	North Carolina	$327.09	—	—	2026-07-01
5	California	$324.03	—	—	2026-01-01
6	Nebraska	$321.17	—	—	2026-07-01
7	Pennsylvania	$255.27	—	—	2025-04-01
8	Illinois	$248.95	—	—	2026-10-01
9	Missouri	$244.47	—	—	2026-07-01
10	Wisconsin	$226.35	—	—	2016-01-01
11	Michigan	$99.90	—	—	2026-01-01

What it costs to deliver in Ohio

Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).

Role	OH median	US median	vs US
Registered nurse	$39.67	$46.90	-15.4%
Licensed practical nurse	$29.78	$30.96	-3.8%
Nursing assistant (CNA)	$18.76	$20.32	-7.7%

Recent Ohio skilled nursing rate changes

Change	Status	Change	Effective
Register of Ohio: Ohio Department of Medicaid proposed rules 5160-3-18 - Nursing facilities (NFs): ventilator program	proposed	—	—
Register of Ohio: Ohio Department of Medicaid final-filed rules 5160-13-08 - Dialysis center services: add-on payment for nursing facility-based hemodialysis furnished by a dialysis center.	effective	—	2026-07-01
Register of Ohio: Ohio Department of Medicaid proposed rules 5160-13-08 - Dialysis center services: add-on payment for nursing facility-based hemodialysis furnished by a dialysis center.	proposed	—	—
Register of Ohio: Ohio Department of Medicaid final-filed rules 5160-3-99 - Payment methodology for state-operated intermediate care facilities for individuals with intellectual disabilities (ICFs/IID).	effective	—	2025-07-03
Ohio SPA 25-0017: This plan amendment transitions the Nursing Facility Reimbursement to the Patient Driven Payment Model.	submitted	—	2025-07-01
Ohio SPA 25-0017: This plan amendment transitions the Nursing Facility Reimbursement to the Patient Driven Payment Model.	approved_cms	—	2025-07-01
Register of Ohio: Ohio Department of Medicaid proposed rules 5160-3-99 - Payment methodology for state-operated intermediate care facilities for individuals with intellectual disabilities (ICFs/IID).	proposed	—	—
Ohio SPA 24-0021: This plan amendment updates rates for changes of ownership in nursing facilities.	submitted	—	2024-12-01
Ohio SPA 24-0021: This plan amendment updates rates for changes of ownership in nursing facilities.	approved_cms	—	2024-12-01
Ohio SPA 24-0004: Payment for Services: Nursing Facility Private Rooms Payment Increase	approved_cms	—	2024-10-01

Every variant, every version, every state

The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.

Open in workspace API reference

Rates are taken from Ohio's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.