Submit - Nursing Home Quality Improvement Project

You may submit a Nursing Home Quality Improvement Project for consideration for approval by the Ohio Department of Aging by completing the form below. Your submission will be routed to the most appropriate staff. Please do not include personal information, such as Medicaid or Social Security numbers, in this form.

Before submitting, please review OAC 173-60.

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  • Point of Contact









  • Organization Information (if applicable)







  • Project Description

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