LeadingAge National Unveils PDPM Resource

(Aug. 5, 2025) Nursing home members can now access a brief educational session along with a strategy guide on preparing for a Patient-Driven Payment Model (PDPM)-based Medicaid case mix. This comes as most states, including NY, are adopting some version of PDPM as the basis for adjusting Medicaid rates for acuity. LeadingAge National has partnered with Gravity Consulting to offer members this new resource that touches on key recommendations for preparing for PDPM success – from working with physicians to International Classification of Diseases (ICD)-10 coding considerations to morning meeting suggestions. The resource is especially timely for NY providers as the State inches closer to unveiling its new Medicaid case mix methodology. In fact, we expect to be able to update members on the State’s progress later this week.

The resource, which also includes the status of PDPM transitions in every state, is available here. In addition, those heading to Saratoga Springs for the LeadingAge NY Financial Professionals/Fall Conference Showcase in September will not want to miss the Pre-Conference Intensive session, which will take a deeper, data-informed dive into the transition to PDPM.

Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841