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For years, skilled nursing facilities (SNF) operated in a system where data submitted through the Minimum Data Set (MDS) was largely accepted at face value. Facilities reported, measures were calculated, and reimbursement and public reporting followed. That is ending.

DHS announced this week that, in addition to the provider enrollment freeze for what they have deemed 13 high-risk categories, all claims submitted for services within these categories will be suspended pending pre-payment review. DHS also confirmed high-risk providers will be subject to an off-cycle revalidation process.

Yesterday, Jan. 14, the U.S. State Department announced a pause on immigrant visa processing for applicants from 75 countries, a change that may affect some employment-based green card cases used by long-term care providers to recruit international health care professionals. The pause is scheduled to take effect on Jan. 21.

CMS has recently moved nursing home survey and certification data into its new cloud-based system, iQIES (Internet Quality Improvement and Evaluation System). While this modernization is intended to improve data quality and reliability, the transition has resulted in data discrepancies that may be visible on Nursing Home Care Compare.

Late last year, health insurer UCARE announced that due to mounting financial losses they would be shutting down operations.  They are now officially in court ordered “rehabilitation” which has put MDH in charge of all UCARE operations.

As the state continues to battle both substantiated and alleged claims of Medicaid fraud, DHS has announced a freeze on new provider enrollments in 13 categories of Medicaid-funded services as part of efforts to strengthen program integrity and address Medicaid fraud.

As communities across Minnesota respond to increased immigration enforcement activity and related events, many organizations are navigating heightened concern, questions, and uncertainty. To support members, LeadingAge Minnesota is sharing communication templates designed to help organizations respond thoughtfully and compassionately.

The Minnesota Department of Health (MDH) has announced the upcoming launch of the Assisted Living Competitive Grant Program, established under new legislation effective Jan. 1, 2026 (see Minnesota Statutes, section 144G.31). This program supports projects and initiatives that improve resident quality of care and outcomes in assisted living settings licensed under Minnesota Statutes, chapter 144G, or organizations with experience in assisted living operations, compliance, resident needs, or best practices.

OnTrack Medication Aide (TMA) Training is now available. Launching today, Jan. 1, 2026, this new hybrid Medication Aide training program—approved by the Minnesota Department of Health—expands career pathways for caregivers and provides members with a flexible, statewide TMA training option.

In assisted living settings, unlicensed staff are often the first to respond to resident situations. LeadingAge Minnesota developed member supports to assist in clarifying practical expectations for incident response, reinforcing the use of the airway, breathing, circulation (ABCs), and providing education and tools that help organizations make decisions about when, and whether, to move a resident after a fall.

OnTrack Medication Aide (TMA) Training launches January 1, 2026. Newly approved by the Minnesota Department of Health, this hybrid medication aide training program was developed in response to member requests for accessible, online training and expands career advancement opportunities for caregivers across the state.

The Minnesota Department of Human Services announced on Tuesday that they will implement a licensing pause for adult day settings starting Feb. 1, 2026.

Mark your calendar now and join us for these webinars happening in January:

The Centers for Medicare & Medicaid Services (CMS) has indefinitely suspended the Skilled Nursing Facility Off-Cycle Revalidation required by January 1, 2026. It is important to note that only the January 1 (“off-cycle”) compliance date has been suspended.

Today, Minnesota officials released its fall economic forecast, which will inform state lawmakers’ priorities in 2026. 

Members who provide HUD subsidized housing may have received a letter dated November 25, 2025 from HUD Secretary E. Scott Turner addressing the current administration’s guidance related to criminal background screenings for prospective tenants.

The MN Department of Revenue has recently reorganized their website content and added more training resources to help customers navigate the CRP system.

Federal enforcement activities in Minnesota have intensified following national directives expanding expedited removal and activating multi-agency Homeland Security task forces.

An interim final rule repealing the nursing home minimum staffing standards was released to the Federal Register on December 2. It is important to note that the interim final rule does not repeal the entire rule that was finalized in April 2024.

Congratulations to Perham Health/Elevate for winning the 2025 Minnesota Rural Health Team Award. This award, presented by the Minnesota Department of Health, recognizes dedicated health care organizations that have made significant contributions to the health and wellbeing of their rural communities. It's presented just in time for honoring Rural Health Day, which is today, Thursday, November 20. 

LeadingAge Minnesota hosted two consecutive webinars on Tuesday, Oct. 14, to help providers prepare for the Jan. 1, 2026 implementation of Minnesota’s new Paid Family and Medical Leave and Meal and Rest Break laws.

Skilled nursing facilities can now access updated SNF Provider Preview Reports reflecting quality measure data that will be publicly reported in January 2026. Providers have until December 17, 2025, to review their data and request CMS corrections if needed.

Lawmakers continue to wrestle with the rollout and confusion of the Walz Administration’s order to pause Medicaid payments for 14 services (now technically 13 due to one of the services being discontinued entirely), pending an audit by Optum.

Following recent member discussions and questions about the upcoming Minnesota Paid Leave (MPL) law, we wanted to provide clarity about its relationship with the Nursing Home Workforce Standards Board (NHWSB) established minimum wages and how those NHWSB minimum wages may not necessarily be the minimum wages required to be paid for MPL compliance.

The implementation of the 2025 legislative changes and the need for approval by the Centers for Medicare and Medicaid Services (CMS) has delayed the publication of the January 1, 2026, nursing facility rate notices by the Minnesota Department of Human Services (DHS). DHS is waiting to see what CMS does and does not approve. 

The 2025 legislative session brought significant changes to contracts, notifications, and terminations for assisted living providers.

Stratis Health has been selected by the Minnesota Department of Health (MDH) to create an educational toolkit to support compliance with state regulations for new and current home care and assisted living providers.

Following recent LeadingAge Minnesota member webinars on the upcoming Minnesota Paid Family and Medical Leave (MPL) law, we received dozens of thoughtful and practical questions from providers.

The Healthcare Workforce Resilience Act has been reintroduced – A federal bill that proposes to recapture up to 40,000 previously authorized but unused immigrant visas—25,000 for nurses and 15,000 for physicians.

LeadingAge Minnesota business partner CliftonLarsonAllen (CLA) recently released their 40^th Annual SNF Cost Comparison and Industry Trends Report. This year's report is centered on the importance of understanding the reimbursement landscape, how quality drives performance, and enhancing business operations and acumen.