COLUMBUS, Ohio -- After a unanimous state Supreme Court decision found Ohio underpaid its best nursing homes by as much as $1 billion, the state is pushing back — asking the justices to take another look before it cuts a check.

The case centers on a dispute between nursing homes and the Department of Medicaid over how the state is supposed to calculate payments meant to reward “high-quality care.”

Nursing homes successfully argued the department got the math wrong, shortchanging them by about $527 million in the 2024–2025 budget and a similar amount in the current one.

Attorneys for Ohio say the state didn’t plan to spend that kind of money.

“It is difficult to overstate the outsized impact of such issues on the State’s budget and overall financial health,” attorneys for the Ohio Dep

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