News

On June 6, the Centers for Medicare and Medicaid Services (CMS) will terminate the COVID-19 waiver that has allowed nurse aides to serve seniors without being on the Nursing Assistant Registry. Nurse aides hired or worked during the waiver have until Oct. 7 to be placed on the Minnesota Nursing Assistant Registry.

On a monthly Nurse Assistant call, the Minnesota Department of Health (MDH) had previously communicated near-term deadlines for those working under the 1135 Waiver. With the termination of the waiver quickly approaching, we advocated strongly for flexibility and further clarity on the action required for those working under the waiver to ensure nurse aides can continue providing services for seniors throughout the state.

MDH has provided helpful clarification on the three different pathways to transition caregivers who have been working under the 1135 Waiver.

Three Pathways

Pathway 1: Enroll in a state-approved Nurse Aide Training and Competency Evaluation Program (NATCEP) and complete the training program and pass the exam by Oct. 7.

Pathway 2: Enroll in a NATCEP training program, but take advantage of the transition pathway developed by MDH, allowing facilities to credit training received while working in a long-term care facility under the waiver towards the required 75-hours of training. Individuals taking this route must still enroll in a NATCEP program to ensure training requirements are met and assist in completing any additional training needs. The training and testing must be completed and passed by Oct. 7.

Pathway 3: Choose not to enroll in a NATCEP program, but challenge and pass the test before Oct. 7. The nurse aide will have three attempts to successfully pass the knowledge and skills exams. If they do not pass the test by Oct. 7, they cannot work as a nurse aide until completion of a NATCEP program.

Please refer to the updated MDH document Placement on Minnesota’s Nurse Aide Registry for Nurse Aides Working during the 1135 Waiver for more information on these pathways.

We will continue to work closely with our partners at MDH and Minnesota State Colleges to discuss strategies to ensure all caregivers working under the 1135 Waiver are successfully trained, tested, and transitioned to be on the registry by Oct. 6.

If you have questions or need assistance with this process, please reach out to Anna Mowry, Director of Workforce Solutions at LeadingAge Minnesota.

Although the Health and Human Services conference committee could not agree on new funding measures, the committee reached a consensus on a package of policy changes that passed both the Minnesota Senate and House of Representatives on the last day of the legislative session. The policy bill includes two provisions that provide some relief for providers relating to background studies.

It’s crunch time on the advocacy front! At the state level, we are in the final days of the legislative session and funding for aging services in still in play. Without our encouragement, funding could easily be left out of a final budget agreement.

On June 6, the Centers for Medicare and Medicaid Services (CMS) will terminate the COVID-19 waiver that has allowed basic care aides and caregivers to serve seniors without being on the Nursing Assistant Registry.

The Minnesota Department of Human Services (DHS) is temporarily waiving mandatory direct contact supervision requirements for new hires while their fingerprint-based background studies are being processed. The waiver remains in effect until June 30.

The Minnesota Department of Health (MDH) has recently released new guidance on using side rails in assisted living communities.

LeadingAge Minnesota members have been lifting their voices in support of caregivers and the seniors they serve to advocate for higher wages and access to care for Minnesota’s seniors.

On Friday, April 29, the legislature passed a bill to provide frontline workers a bonus check for their commitment to serving our community during the height of the pandemic. The measure will use $500 million of federal funds to provide "hero" payments to an estimated 667,000 frontline workers in specified sectors, including long-term care and home care settings like nursing homes and assisted living.

Aging services providers across the state face dire financial conditions that jeopardize access to care for Minnesota's seniors, according to a recent survey conducted by the Long-Term Care Imperative.

On Tuesday, April 26, the Minnesota Senate passed SF 4410, its Health and Human Services (HHS) Omnibus Bill on a strong bipartisan vote (60-5). The measure includes $358 million in investments for nursing homes and improves Minnesota's Elderly Waiver rate phase-in (from 18.8% to 27.2%).

On Monday, May 2, LeadingAge Minnesota will launch an exciting new resource to allow members to track and benchmark critical workforce data. In LeadingAge Minnesota's data portal, members can access a new workforce data application containing data entry and comparison reports on employee turnover, employee retention, and vacancy rates for each quarter. 

Legislative leaders reached a tentative deal today to restore the Unemployment Insurance Trust and issue frontline worker bonuses, a stalemate that has plagued elected officials for months.

The Center for Medicare and Medicaid Services (CMS) updated its test reporting guidance, making reporting negative or inconclusive COVID-19 test results optional for nursing homes.

The Minnesota Legislature returned from a weeklong break on Tuesday, April 19. There are now just five weeks remaining for legislators to complete their work, including passing bonding and tax bills and finding a compromise on spending our state's $9.2 billion surplus.

Last week, the Office of the Ombudsman for Long Term Care (OOLTC) reached out to assisted living settings without a contract copy on file with the OOLTC per the requirement. The OOLTC asked each of these settings to submit a copy of the assisted living contract.

Earlier this week, the Centers for Medicare and Medicaid Services (CMS) released its annual proposed rule for updating the Medicare Prospective Payment System (PPS) rates for skilled nursing facilities (SNFs). In addition to the rate update, the proposed rule covers numerous topics impacting SNFs, including proposed staffing standards and updates to quality reporting and value-based purchasing (VBP).

The National Academies of Sciences, Engineering, and Medicine on April 6 released a highly-anticipated and comprehensive study of the challenges facing nursing homes in the United States.

This week the House and Senate have each introduced supplemental budget bills that fund health and human services areas. We were pleased to see that the Senate bill provides significant funding for the Long-Term Care Imperative workforce agenda. Unfortunately, the House bill does not, but the bill does include a few scattered positive elements.

In a Memorandum released on April 7, the Centers for Medicare and Medicaid Services (CMS) announced that it will terminate several temporary emergency declaration blanket waivers that have provided nursing facilities and other provider types with flexibilities designed to support the COVID response.

The Senior LinkAge Line will be updating their verification codes, which will have a slightly different look than previously generated codes. The change is anticipated to take effect in April.