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Develop an Effective Executive Transition Plan – Nov. 5
On October 17, 2024 by Sharon Hollister
Join us for the Nov. 5 webinar, Executive Leadership Transitions and the Board’s Role.
Safe Care Abuse Prevention Train-the-Trainer – Next Thursday
On October 17, 2024 by Julie Apold
Prevention of abuse and neglect is everyone’s job. A four-part training program, Safe Care Abuse Prevention, is designed to be delivered in 30-minute segments to fit with your internal training schedules.
Minnesota-Based Saint Therese To Acquire St. Mary Of The Woods Senior Community In Avon, Ohio
On October 17, 2024 by LeadingAge Minnesota
Continuing to build its footprint in the Midwest, Saint Therese, an aging care and services leader based in the Twin Cities, this week announced it will acquire St. Mary of the Woods in Avon, Ohio, near Cleveland.
¿Hablas español? Coming Soon: EduCare Courses Offered in Spanish
On October 17, 2024 by Anna Mowry
LeadingAge Minnesota partners with EduCare as our exclusive, on-demand training partner not only because they guarantee compliance and exceptional customer service, but also because they continue to innovate.
Update Your Advance Beneficiary Notice (ABN) Form by October 31
On October 17, 2024 by Kari Everson
The Centers for Medicare & Medicaid Services (CMS) has updated Form CMS-10055 Skilled Nursing Facility (SNF) Advance Beneficiary Notice of non-coverage (ABN).
Customized Living Quality Improvement Grant RFP Announced
On October 17, 2024 by Bobbie Guidry
A grant opportunity was announced this week for providers of Customized Living Services through BI, CADI and EW. The goal of this grant is to help providers improve overall quality of life for people who receive these services.
2024 Salary Survey Reports Available for Purchase
On October 17, 2024 by Jeff Bostic
LeadingAge Minnesota recently emailed complimentary copies of the 2024 compensation reports for nursing facilities and senior housing providers to members who participated in those surveys.
Executive Leadership Masterclass Applications Due Nov. 11
On October 17, 2024 by Barbara Landeen
Applications to participate in the second cohort of the Executive Leadership Masterclass for Aging Services Professionals are due Nov. 11. The 2025 program runs from March to September.
Employee Turnover Rates Continue to Decline, According to Recent LeadingAge MN Data
On October 17, 2024 by Jeff Bostic
Updated LeadingAge Minnesota Data Portal benchmark reports are available for workforce measures, including staff vacancies, retention and turnover.
LeadingAge Minnesota Joins 20 Other State Affiliates in Lawsuit to Overturn CMS Staffing Mandate
On October 10, 2024 by LeadingAge Minnesota
LeadingAge Minnesota has joined with 20 other affiliated organizations, together representing hundreds of not-for-profit aging services providers across the country, in a lawsuit to overturn the Centers for Medicaid and Medicare Services’ (CMS) staffing mandate. The mandate creates an untenable situation for senior care facilities across Minnesota and throughout the country.
Nurse Lunch and Learn Fall Series Starts Oct. 17
On October 10, 2024 by Sharon Hollister
Nurse Lunch and Learn webinars offer quick, focused sessions for nurse teams, emphasizing staff and direct care nurses.
Fall HR Webinar Series – Registration Open
On October 10, 2024 by Sharon Hollister
Registration is open for our Human Resources in Aging Services Webinar Series.
New Resources to Expand Nature Access for Older Adults in Minnesota
On October 10, 2024 by LeadingAge Minnesota
Nature has proven benefits for human health and well-being at every stage of life.
Age Friendly Minnesota Seeking Participation in Action Teams
On October 10, 2024 by Dan Nelson
Your voice is needed at the table!
Age Friendly Minnesota is a collective effort to build an age-friendly state for all Minnesotans.
Mandatory SNF ABN Now Available, Must Be in Place by Oct. 31
On October 10, 2024 by Kari Everson
The Centers for Medicare & Medicaid Services (CMS) has updated Form CMS-10055 Skilled Nursing Facility (SNF) Advance Beneficiary Notice of non-coverage (ABN).
Rural Housing Service Clarifies Emergency Pull Cord Requirements – HUD Requirements Contrast
On October 10, 2024 by Bobbie Guidry
The U.S. Department of Agriculture (USDA) issued guidance to clarify the agency’s emergency call system requirements for federally-subsidized rural Multifamily Housing communities.
New IDR/IIDR Statutes Effective Oct. 3
On October 10, 2024 by LeadingAge Minnesota
Changes were made to the statutes regarding Informal Dispute Resolution (IDR) and Independent Informal Dispute Resolution (IIDR) during the 2024 legislative session.
Data Portal: Assisted Living Quality Benchmarks show areas of improvement
On October 10, 2024 by Julie Apold
Updated LeadingAge Minnesota Data Portal benchmark reports are available for assisted living quality and service measures, including falls, falls with serious injury, hospital/ED visits, medication errors, occupancy and payor source data.
Enhancing Long-term Care Services: 2025 Preventive Services Grant Opportunities for Greater Minnesota
On October 10, 2024 by Kari Everson
The 2025 Preventive Services in Long-term Care Grant Program has two grant opportunities available to providers in residential settings serving older adults to meet critical needs and provide services for their residents.
Ebenezer Hosts Candidate Forum at Amira Choice Champlin
On October 10, 2024 by Dan Nelson
This election season, LeadingAge Minnesota members around the state are hosting candidate forums to provide a platform for local candidates to discuss issues affecting older adults and Minnesota’s aging services sector.
Legislative Taskforce on Aging releases Taskforce Findings Report
On October 10, 2024 by Kayla Khang
The Legislative Task Force on Aging met Wednesday, Oct. 10 to discuss the first draft of their final report.
Nursing Home Workforce Standards Board Holiday Pay Rule Approved for Submission to Office of Administrative Hearings
On October 10, 2024 by Jeff Bostic
Today, the Nursing Home Workforce Standards Board rule that would require eleven paid holidays was approved by the board for submission to the Office of Administrative Hearings.
New IDR/IIDR Statutes in Effect Oct. 3
On October 7, 2024 by Mark Schulz
Changes were made to the statutes regarding Informal Dispute Resolution (IDR) and Independent Informal Dispute Resolution (IIDR) during the 2024 legislative session. The changes to the statutes bring these processes more in line with federal guidelines regarding these appeal procedures.
What is IDR and IIDR?
IDR and IIDR are the informal opportunities for federally certified facilities to challenge deficiencies issued following a survey. The IDR is an internal review performed by MDH staff. The IIDR is a review by an independent entity following the issuance of a civil money penalty (CMP).
Why were changes made?
Changes to the IDR and IIDR statutes were required to create more cohesion between the Minnesota statutes and the federal regulations and guidelines. Minnesota created its IDR and IIDR statutes prior to the federal regulations going into effect, and when the federal regulations were adopted, they did not match the Minnesota statutes. In performing duties as the state survey agency on behalf of the federal Center for Medicare and Medicaid Services (CMS), MDH is held to performance standards based on federal regulations and guidelines. The state statutes limited MDH’s ability to meet those standards.
The changes ensure a progressive appeals structure where an IDR can be requested upon receipt of deficiencies, and then an IIDR can be requested if the IDR is unsuccessful and the challenged deficiency results in a CMP.
What are the changes?
The impacted statutes are Minnesota Statutes, section 144A.10, subdivisions 15 and 16. Subdivision 15, regarding IDRs, has a minor change. Subdivision 16, regarding IIDRs, went through more significant changes regarding timelines and processes.
IDR Timeline
The statute discussing IDR (Minnesota Statutes, section 144A.10, subdivision 15) had a minor change to accurately reflect the timeline for requesting the IDR. Previously, the statute stated the request for IDR must be made within “30 days of the exit date of the facility’s survey.” The updated language sets the timeline at within “ten calendar days of the facility’s receipt of the notice of deficiencies.” This new language more appropriately ties deadlines to date of notice and mirrors federal guidelines.
IIDR — Scope
The amended IIDR statute (Minnesota Statutes, section 144A.10, subdivision 16) now makes the IIDR process available only when a deficiency has resulted in a CMP being issued.
IIDR — Timelines
The statute places time limits at each stage of the IIDR process in order to facilitate MDH meeting the federal obligation to complete the IIDR process within 60 calendar days of receiving the request. Notable timelines include:
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The facility must submit a request for IIDR within 10 calendar days of receiving notice that a CMP will be imposed.
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MDH must submit a docket request to the Office of Administrative Hearings within five calendar days of receipt of the request for IIDR.
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The proceeding shall occur within 30 calendar days of MDH submitting the docket request.
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The facility and MDH must file and exchange all arguments and materials supporting their position five working days in advance of the proceeding.
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The administrative law judge considering the matter must submit a recommendation within 10 working days.
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MDH must submit its recommendation to CMS within 10 calendar days of the judge’s recommendation.
IIDR — Proceeding
The IIDR proceeding is meant to be an informal opportunity for facilities to challenge deficiencies. Therefore, references to statutes governing formal administrative hearings or the Uniform Arbitration Act were removed. In their place, the following language is used:
“The independent informal dispute resolution proceeding shall be informal and conducted in a manner so as to allow the parties to fully present their positions and respond to the opposing party’s positions. This may include presentation of oral statements and arguments at the proceeding.”
This language better reflects the intention of the federal regulation that the IIDRs be informal opportunities for appeal. Formal administrative hearings are afforded through the federal Departmental Appeals Board upon issuance of a CMP.
When does this take effect?
This language is effective for all deficiencies issued on or after Oct. 3, 2024.
Contact information
If you have any questions, please contact IIDR at Health.HRD.IIDR@state.mn.us
Register for the Nov. 5 Governance Webinar: Develop an Effective Executive Transition Plan
On October 3, 2024 by Sharon Hollister
Join us for the Nov. 5 webinar, Executive Leadership Transitions and the Board’s Role.
Fall HR Webinar Series – Save the Dates
On October 3, 2024 by Sharon Hollister
Registration opens next week for our Human Resources in Aging Services Webinar Series.
Now is the Time to Submit Your Data Portal Third Quarter Data
On October 3, 2024 by Julie Apold
Data submission for Q3, 2024 is now open in the LeadingAge Minnesota Data Portal. Data submission for all LeadingAge Minnesota Data Portal applications is due by Oct. 31.
Updated SNF ABN Now Available, Mandatory for Use Starting Oct. 31
On October 3, 2024 by Kari Everson
The Centers for Medicare & Medicaid Services (CMS) has updated Form CMS-10055 Skilled Nursing Facility (SNF) Advance Beneficiary Notice of non-coverage (ABN).
Deadlines Approaching: Funding for Solar in HUD Housing
On October 3, 2024 by Bobbie Guidry
The Low-Income Communities Bonus Credit Program, administered by the Department of Energy (DOE) and the Department of the Treasury, promotes cost-saving solar or wind investments in low-income communities as part of affordable housing developments, and for projects that benefit low-income households.
Hoarding Disorders the Topic of New Senate Committee on Aging Report
On October 3, 2024 by Bobbie Guidry
The U.S. Senate Special Committee on Aging recently released a report entitled, The Consequences of Clutter: How Hoarding Disorder Affects America’s Older Adults, First Responders, and Their Communities.
From Classroom to Care: How Highschoolers Can Earn Credit Working in Senior Care
On October 3, 2024 by Anna Mowry
As Minnesota high schoolers head back to school this fall, don’t forget—they have new incentives to work in long-term care.