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The Minnesota Department of Human Service’s Waiver Reimagine project team is hosting open office hours to discuss and understand the recent changes to Minnesota’s waiver programs. DHS will provide updates and review some common questions received about how to implement changes related to the simplified service menu.

The deadline to apply for LeadingAge Minnesota’s Leadership Academy is Monday, April 26. Invest in developing your leaders through this multi-session program that includes leadership theory, applied learning and coaching by seasoned mentors.

LeadingAge and Argentum, our national partners, are joining the Gerontological Society of America and AHCA/NCAL to promote Careers in Aging Week from April 18-24.

On April 15, HUD updated the Frequently Asked Questions associated with the Section 202 Notice of Funds Availability (NOFA), applications for which are due May 26. Based on the questions submitted, HUD has updated the FAQs. The new update includes questions on Opportunity Zones, FHA-insured financing in the development of projects, Environmental Review contacts, Appraisals, Physical Design, and Income Restrictions. The new questions are numbered 4, 16, 17, 30, 31, 32, 33, and 61 in this updated FAQ on the 202 NOFA website.

The Federal Communications Commission’s Wireline Competition Bureau will begin accepting applications for Round 2 of the COVID-19 Telehealth Program on Thursday, April 29 at www.fcc.gov/covid19telehealth. The filing window will last seven calendar days and close on Thursday, May 6 at 11 a.m. CT. Round 2 of the COVID-19 Telehealth Program is a $249.95 million federal initiative that builds on Round 1—a $200 million program established as part of the CARES Act. 

The Minnesota Department of Human Services (DHS), through the Nursing Facility Rates and Policy (NFRP) Division and the State Civil Monetary Penalties (CMP) Initiative, is seeking proposals from qualified Minnesota Medicaid-Certified Nursing Facilities that are interested in implementing a Dementia Live Training Program.

The Minnesota Department of Human Services (DHS) has posted materials related to applying for the Performance Incentive Payment Projects (PIPP) program on the nursing facility provider portal (see the links posted about halfway down the main page). Due to the COVID-19 pandemic, DHS has adjusted the timeline for PIPP this year. PIPP proposals are due to DHS by July 1, and DHS indicates that it will still work to complete the contracting process and start rate increases by Jan.1, 2022.

The Minnesota Department of Health (MDH) has filed a response to modify the Proposed Rules Governing Assisted Living Facilities, requesting that the judge review and approve the rule in its entirety with its suggested modifications.

According to the Institute of Healthcare Improvement, the most effective way to address vaccine hesitancy is through conversations with trusted peers. LeadingAge Minnesota has piloted COVID-19 Vaccine Ambassador training, a new Safe Care for Staff initiative for frontline staff. We have scheduled additional training opportunities on April 30, May 3, and May 6. The training is free. Please register by April 28.

In the most recent Minnesota Department of Health (MDH) update, staff rates for full vaccination were 57% in all reporting care centers and 48% in all reporting assisted living settings. These numbers are essentially unchanged from the previous week. To reach the MDH goal of 70% staff vaccination rates, providers will need to continue encouraging vaccinations among staff. MDH is now limiting reporting for providers who are meeting the goal rates for residents and staff, and as of the most recent report, 25% of providers were meeting the goal.

The Minnesota Department of Health (MDH) posted an update on April 20 to its Long-term Care Visitation Guidance Flowchart for Outbreak Status tool. MDH first released this resource a few weeks ago as a companion to its updated guidance on indoor visitation. The April update provides additional information to explain how outbreak testing and visitation intersect.

The U.S. Department of Health and Human Services took action to extend the COVID-19 Public Health Emergency (PHE) for another 90 days, effective April 21, 2021.

The PHE will now be in place until July 20, and the Section 1135 emergency blanket waivers for nursing facilities will continue over that time unless CMS terminates explicitly one or more of the waivers before that date.

After rising to very high levels in late 2020, positivity rates of COVID-19 tests in Minnesota dropped dramatically in early 2021. In addition to providing a welcome drop in cases in long-term care settings, it also meant a reduced testing burden in care centers where a federal mandate ties surveillance testing frequency to the county positivity rate.

Last week, after a lengthy debate, the Minnesota House approved the Omnibus Housing Bill (HF 1077) on a 69-62 vote. The bill, authored by Rep. Alice Hausman (DFL-St. Paul), includes a variety of budget and policy provisions related to housing and will now move to the Senate, where Sen. Rick Draheim (R-Madison Lake) is the sponsor of the companion bill (SF 969). However, there are stark differences between the House and Senate versions of the bill, so lawmakers will likely need a conference committee to work out differences between the two legislative bodies.

The deadline to apply for LeadingAge Minnesota’s Leadership Academy is Monday, April 26. Invest in developing your leaders through this multi-session program that includes leadership theory, applied learning and coaching by seasoned mentors.

Attend a webinar on April 22 to learn about the Consumer Notification Requirements under the new Assisted Living Licensure Transition legislation passed in December 2020. Understand what it is designed to address, what will be required of your organization in providing notices to current residents, and other essential guidance on how to comply with the new law. 

Click here for details and registration.

Late last week, the Centers for Medicare and Medicaid Services (CMS) issued an annual Proposed Rule that updates the SNF PPS rates effective October 1, 2021.  CMS will follow up with a final rule on the October 1 rates around August 1.

The Centers for Medicare and Medicaid Services (CMS) has issued memorandum QSO-21-15-ALL providing updated guidance (Appendix Z) for all providers covered by the federal Emergency Preparedness requirements. CMS is currently working on updates to the Emergency Preparedness Basic Surveyor Training Course to reflect the new changes.

Join the Minnesota Department of Labor and Industry on May 12 from 9 a.m. to noon for a free webinar training event about creating a more diverse, equitable and inclusive workforce through employment-based training.

This week, lawmakers began passing budget bills off the House and Senate floors. This step establishes starting positions for the House, Senate and Governor as they enter negotiations to reach a final budget deal by May 17. Here is what you need to know about what is happening at the Capitol:

The CDC will host a call on Monday, April 19, 11 a.m. CT for LeadingAge and Argentum members to provide information and perspective on COVID-19 for independent living settings. The call will also include an update from CDC on guidance for adult day services.

In the most recent Minnesota Department of Health (MDH) update, staff rates for full vaccination were 56% in all reporting care centers and 48% in all reporting assisted living settings. These numbers both went up by one percentage point in the last week, which is encouraging. To reach the MDH goal of 70% staff vaccination rates, providers will need to continue encouraging staff vaccinations. MDH is now limiting reporting for providers who are meeting the goal rates for residents and staff, and as of the most recent report, 23% of providers were meeting the goal.

According to the Institute of Healthcare Improvement, the most effective way to address vaccine hesitancy is through conversations with trusted peers. LeadingAge Minnesota has piloted COVID-19 Vaccine Ambassador training, a new Safe Care for Staff initiative. We have scheduled additional training opportunities on April 30, May 3, and May 6. The training is free and open to all staff.

The Assisted Living Licensure (ALL) Rules Report was issued late last week from Chief Judge Starr and Judge Ann O’Reilly.

Several parts of the proposed rule were disapproved, and the Minnesota Department of Health (MDH) must now decide whether to correct the defects associated with the proposed rules. The Department has several options. It can adopt the corrective actions described by the ALJ and Chief Judge to cure the defects, or it can submit its proposed rules to the Legislative Coordinating Commission for advice and comment. That can take up to 60 days and seems unlikely to be used in this case.

The Minnesota Board of Executives for Long-Term Services and Supports (BELTSS) has announced that Minnesota Rule 6400.5000 regarding the licensing of assisted living directors has been approved, allowing the legal authority to begin online applications on April 19. Application information and online application can be accessed via the Board’s website.

The Centers for Medicare and Medicaid Services (CMS) released a policy memo on April 8, announcing the termination of several 1135 waivers related to resident transfers, care plans, and assessments. CMS believes that facilities should have developed processes to comply with the standard regulatory requirements relating to these practices at this stage in the pandemic. These specific waivers, implemented because of the COVID-19 public health emergency, will end on May 10.

The deadline to apply for LeadingAge Minnesota’s Leadership Academy is Monday, April 26. Leadership Academy has an 11-year track record of developing and growing leaders in our field by exploring leadership theory, applied learning and coaching by seasoned mentors. More than 300 leaders have graduated from this annual program.

A significant step in preparing for Assisted Living (AL) Licensure is reading and understanding the Minnesota statutes, laws and rules that govern it. AL directors are required to attest to having completed this requirement on both the AL licensure application and their application to become a licensed assisted living director.

eMenuCHOICE, a LeadingAge Minnesota business partner and partner of the Savings & Solutions Center, is hosting a free webinar on April 13 from 1:30 – 2:30 p.m. to review new dining requirements associated with assisted living licensure. Effective Aug. 1, assisted living settings in Minnesota must be licensed and, as a condition of licensure, assisted living providers must adhere to several new standards related to menus and food requirements, including:

The Minnesota Board of Executives for Long-Term Services and Supports posted the newly created Director of Assisted Living position on the state careers website. The person in the role will lead in the development of all Assisted Living Director (ALD) practice standards. The Board seeks a person with assisted living experience or senior living administration with the core knowledge to assist in implementing course objectives, the ALD-In Residence program, examinations, and continuing education as the AL subject matter expert.