Ohio has not yet distributed any of the funds for long-term facilities and services that its General Assembly appropriated in House Bill 169. As of Monday, January 18, the Ohio Department of Medicaid had not filed for the necessary federal approvals with the Centers for Medicare and Medicaid Services, attributing the holdup to a change in the methodology for distributing the $300 million designated for skilled nursing facilities, which was to be based on numbers of certified beds. The revised formula has 75 percent of the payout based on Medicaid days from 2020 cost reports. The remaining 25 percent is to be distributed according to “quality points” from the July 1, 2021, rate-setting, without excluding facilities ranking lower than the 25th percentile.