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2025 Reimbursement Collaborative: Strategic Solutions for QIP and PDPM Success

Through the LeadingAge Ohio Reimbursement Collaborative, we help providers prove that it's not only possible to achieve high quality ratings and strong reimbursement—it’s strategic. High quality and high case mix aren’t mutually exclusive. This collaborative shows how aligning core strategies can strengthen both, because quality and reimbursement should work hand in hand.

In the second half of 2025, this Reimbursement Collaborative will support nursing homes in responding to Ohio’s changes in Medicaid reimbursement. This collaborative will focus on aligning strategies that impact both quality performance and reimbursement outcomes. Each session will help participants identify where QIP measures and PDPM classifications intersect and how system-level changes can drive improvement across both. Participants will also receive facility-specific QIP and PDPM reports to guide data-driven decision-making throughout the series.


Sessions Included in this Collaborative:

July 17, 2025

2025 Reimbursement Collaborative: Strategic Solutions for QIP and PDPM Success - Reality Check – Making Sense of Ohio’s Medicaid Reimbursement System

August 21, 2025 

2025 Reimbursement Collaborative: Strategic Solutions for QIP and PDPM Success - Trends That Tell the Story – Understanding Your QIP & PDPM Data

September 18, 2025

2025 Reimbursement Collaborative: Strategic Solutions for QIP and PDPM Success - Getting the Record Right – Documentation That Drives Reimbursement

October 16, 2025 

2025 Reimbursement Collaborative: Strategic Solutions for QIP and PDPM Success - Build the Backbone – Systems That Ensure Accuracy and Accountability

November 20, 2025 

2025 Reimbursement Collaborative: Strategic Solutions for QIP and PDPM Success - QAPI in Action – Using Performance Improvement to Drive Reimbursement

December 18, 2025 

2025 Reimbursement Collaborative: Strategic Solutions for QIP and PDPM Success - From Progress to Permanence – Sustaining Results Beyond the Collaborative 


Continuing Education for EACH Session: 

1.0 clock hours will be awarded upon successful completion. Pending BELTSS approval. 

1.2 CPE hours will be awarded upon successful completion.

Criteria for successful completion: Attendance at entire event and submission of completed evaluation form. 

LeadingAge Ohio is an approved provider by the Board of Executives of Long Term Services and Supports. Core of knowledge subject areas: Care, Services and Supports; Operations; Environment and Quality; Leadership and Strategy. 

As stated in the Ohio Administrative Code Rule 4723-14-05, education that has been approved by a board or an agency that regulates a health care profession in Ohio or another jurisdiction is an acceptable option to meet nursing continuing education requirements.

LeadingAge Ohio is an approved CPE Sponsor from the Accountancy Board of Ohio, CPE.379, expiration date: 5.31.2026.

  • Contains 1 Component(s) Includes a Live Web Event on 10/16/2025 at 1:00 PM (EDT)

    October 16, 2025: Behind every high-performing facility is a set of reliable systems that guide documentation, coding, and data accuracy. This session will focus on how operational workflows, communication tools, and staff roles can be structured to support timely and accurate MDS completion, leading to stronger QIP and PDPM results.

    October 16, 2025

    Through the LeadingAge Ohio Reimbursement Collaborative, we help providers prove that it's not only possible to achieve high quality ratings and strong reimbursement—it’s strategic. High quality and high case mix aren’t mutually exclusive. This collaborative shows how aligning core strategies can strengthen both, because quality and reimbursement should work hand in hand. 

    In the second half of 2025, this Reimbursement Collaborative will support nursing homes in responding to Ohio’s changes in Medicaid reimbursement. This collaborative will focus on aligning strategies that impact both quality performance and reimbursement outcomes. Each session will help participants identify where QIP measures and PDPM classifications intersect and how system-level changes can drive improvement across both. Participants will also receive facility-specific QIP and PDPM reports to guide data-driven decision-making throughout the series.

    Behind every high-performing facility is a set of reliable systems that guide documentation, coding, and data accuracy. This session will focus on how operational workflows, communication tools, and staff roles can be structured to support timely and accurate MDS completion, leading to stronger QIP and PDPM results.

    Continuing Education for EACH Session: 

    1.0 clock hours will be awarded upon successful completion. Pending BELTSS approval. 

    1.2 CPE hours will be awarded upon successful completion.

    Criteria for successful completion: Attendance at entire event and submission of completed evaluation form. 

    LeadingAge Ohio is an approved provider by the Board of Executives of Long Term Services and Supports. Core of knowledge subject areas: Care, Services and Supports; Operations; Environment and Quality; Leadership and Strategy. 

    As stated in the Ohio Administrative Code Rule 4723-14-05, education that has been approved by a board or an agency that regulates a health care profession in Ohio or another jurisdiction is an acceptable option to meet nursing continuing education requirements.

    LeadingAge Ohio is an approved CPE Sponsor from the Accountancy Board of Ohio, CPE.379, expiration date: 5.31.2026.Learners have 10 days from live webinar date to complete course, including obtaining education certificate.


    Learners have 10 days from live webinar date to complete course, including obtaining education certificate.

  • Contains 1 Component(s) Includes a Live Web Event on 09/18/2025 at 1:00 PM (EDT)

    September 18, 2025: Accurate documentation is the foundation of success. This session explores real examples and lessons from prior QIP results and MDS exception reviews, spotlighting the MDS data elements that affect both clinical quality and financial outcomes.

    September 18, 2025

    Through the LeadingAge Ohio Reimbursement Collaborative, we help providers prove that it's not only possible to achieve high quality ratings and strong reimbursement—it’s strategic. High quality and high case mix aren’t mutually exclusive. This collaborative shows how aligning core strategies can strengthen both, because quality and reimbursement should work hand in hand. 

    In the second half of 2025, this Reimbursement Collaborative will support nursing homes in responding to Ohio’s changes in Medicaid reimbursement. This collaborative will focus on aligning strategies that impact both quality performance and reimbursement outcomes. Each session will help participants identify where QIP measures and PDPM classifications intersect and how system-level changes can drive improvement across both. Participants will also receive facility-specific QIP and PDPM reports to guide data-driven decision-making throughout the series.

    Accurate documentation is the foundation of success. This session explores real examples and lessons from prior QIP results and MDS exception reviews, spotlighting the MDS data elements that affect both clinical quality and financial outcomes.

    Continuing Education for EACH Session: 

    1.0 clock hours will be awarded upon successful completion. Pending BELTSS approval. 

    1.2 CPE hours will be awarded upon successful completion.

    Criteria for successful completion: Attendance at entire event and submission of completed evaluation form. 

    LeadingAge Ohio is an approved provider by the Board of Executives of Long Term Services and Supports. Core of knowledge subject areas: Care, Services and Supports; Operations; Environment and Quality; Leadership and Strategy. 

    As stated in the Ohio Administrative Code Rule 4723-14-05, education that has been approved by a board or an agency that regulates a health care profession in Ohio or another jurisdiction is an acceptable option to meet nursing continuing education requirements.

    LeadingAge Ohio is an approved CPE Sponsor from the Accountancy Board of Ohio, CPE.379, expiration date: 5.31.2026.Learners have 10 days from live webinar date to complete course, including obtaining education certificate.


    Learners have 10 days from live webinar date to complete course, including obtaining education certificate.

  • Contains 1 Component(s) Includes a Live Web Event on 08/21/2025 at 1:00 PM (EDT)

    August 21, 2025: Using real-time facility-specific QIP and PDPM reports, we’ll review trends that impact quality and reimbursement performance. Participants will gain insight into their performance compared to statewide averages and learn where their greatest opportunities lie.

    August 21, 2025

    Through the LeadingAge Ohio Reimbursement Collaborative, we help providers prove that it's not only possible to achieve high quality ratings and strong reimbursement—it’s strategic. High quality and high case mix aren’t mutually exclusive. This collaborative shows how aligning core strategies can strengthen both, because quality and reimbursement should work hand in hand. 

    In the second half of 2025, this Reimbursement Collaborative will support nursing homes in responding to Ohio’s changes in Medicaid reimbursement. This collaborative will focus on aligning strategies that impact both quality performance and reimbursement outcomes. Each session will help participants identify where QIP measures and PDPM classifications intersect and how system-level changes can drive improvement across both. Participants will also receive facility-specific QIP and PDPM reports to guide data-driven decision-making throughout the series.

    Using real-time facility-specific QIP and PDPM reports, we’ll review trends that impact quality and reimbursement performance. Participants will gain insight into their performance compared to statewide averages and learn where their greatest opportunities lie.

    Continuing Education for EACH Session: 

    1.0 clock hours will be awarded upon successful completion. Pending BELTSS approval. 

    1.2 CPE hours will be awarded upon successful completion.

    Criteria for successful completion: Attendance at entire event and submission of completed evaluation form. 

    LeadingAge Ohio is an approved provider by the Board of Executives of Long Term Services and Supports. Core of knowledge subject areas: Care, Services and Supports; Operations; Environment and Quality; Leadership and Strategy. 

    As stated in the Ohio Administrative Code Rule 4723-14-05, education that has been approved by a board or an agency that regulates a health care profession in Ohio or another jurisdiction is an acceptable option to meet nursing continuing education requirements.

    LeadingAge Ohio is an approved CPE Sponsor from the Accountancy Board of Ohio, CPE.379, expiration date: 5.31.2026.Learners have 10 days from live webinar date to complete course, including obtaining education certificate.


    Learners have 10 days from live webinar date to complete course, including obtaining education certificate.

  • Contains 1 Component(s) Includes a Live Web Event on 07/17/2025 at 1:00 PM (EDT)

    July 17, 2025: This kickoff session sets the stage with an in-depth look at the budget changes impacting Ohio Medicaid reimbursement. We’ll discuss how Ohio’s budget changes influences both the Quality Incentive Payment (QIP) program and the case-mix transition to PDPM. Participants will gain a clear understanding of how QIP, PDPM, and other components come together to determine each nursing home’s Medicaid rate. We will discuss what providers need to understand to impact reimbursement under both programs.

    July 17, 2025

    Through the LeadingAge Ohio Reimbursement Collaborative, we help providers prove that it's not only possible to achieve high quality ratings and strong reimbursement—it’s strategic. High quality and high case mix aren’t mutually exclusive. This collaborative shows how aligning core strategies can strengthen both, because quality and reimbursement should work hand in hand. 

    In the second half of 2025, this Reimbursement Collaborative will support nursing homes in responding to Ohio’s changes in Medicaid reimbursement. This collaborative will focus on aligning strategies that impact both quality performance and reimbursement outcomes. Each session will help participants identify where QIP measures and PDPM classifications intersect and how system-level changes can drive improvement across both. Participants will also receive facility-specific QIP and PDPM reports to guide data-driven decision-making throughout the series.

    This kickoff session sets the stage with an in-depth look at the budget changes impacting Ohio Medicaid reimbursement. We’ll discuss how Ohio’s budget changes influences both the Quality Incentive Payment (QIP) program and the case-mix transition to PDPM. Participants will gain a clear understanding of how QIP, PDPM, and other components come together to determine each nursing home’s Medicaid rate. We will discuss what providers need to understand to impact reimbursement under both programs.

    Continuing Education for EACH Session: 

    1.0 clock hours will be awarded upon successful completion. Pending BELTSS approval. 

    1.2 CPE hours will be awarded upon successful completion.

    Criteria for successful completion: Attendance at entire event and submission of completed evaluation form. 

    LeadingAge Ohio is an approved provider by the Board of Executives of Long Term Services and Supports. Core of knowledge subject areas: Care, Services and Supports; Operations; Environment and Quality; Leadership and Strategy. 

    As stated in the Ohio Administrative Code Rule 4723-14-05, education that has been approved by a board or an agency that regulates a health care profession in Ohio or another jurisdiction is an acceptable option to meet nursing continuing education requirements.

    LeadingAge Ohio is an approved CPE Sponsor from the Accountancy Board of Ohio, CPE.379, expiration date: 5.31.2026.Learners have 10 days from live webinar date to complete course, including obtaining education certificate. 


    Learners have 10 days from live webinar date to complete course, including obtaining education certificate.

Our national partner, LeadingAge, is an association of 6,000 not-for-profit organizations dedicated to expanding the world of possibilities for aging. Together, we advance policies, promote practices and conduct research that support, enable and empower people to live fully as they age.