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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.

Effective November 2025, MDH is using a new Physical Environment Inspection Report to document physical environment deficiencies identified during:

Due to mounting financial losses, health insurer UCARE announced earlier this week that it is shutting down all operations and will be transferring clients to another non-profit Minnesota health insurer, Medica.

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. 

DHS is waiting to issue rate notices until the end of November. At a minimum, the January 1, 2026 rate notices issued at the end of November will reflect the 2024 cost report, the PDPM transition and the operating rate caps, which do not require CMS approval. 

According to DHS, the nursing facility minimum wage rate add-on and the increase to the nursing home surcharge cannot be implemented without approval from CMS. Therefore, these two 2025 legislative changes are not expected to be on the November rate notices. 

In the meantime, if your minimum wage rate application is still under review by DHS, please make sure to continue working with the department to complete so that amount can be added to your facility’s rate when CMS approves the minimum wage funding. 

It is not known when CMS will approve the minimum wage mandate and the corresponding rate add-on, and approval of the nursing home surcharge is still in question. The specific dates of implementation for the minimum wage rule and associated rate increase will be determined upon approval by CMS. At this point, members should assume that the minimum wage requirements and increased surcharge will likely not be implemented on Jan. 1 and do not need to plan to implement them until the effective date is known. 

We’ve created talking points that providers may use with their residents and staff to communicate the implications of the CMS delay. To access these talking points, please click here. 

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.

At the 2025 LeadingAge Annual Meeting in Boston, LeadingAge Minnesota was honored to share the stage with distinguished partners from Kenya and Minnesota to spotlight an emerging model of international collaboration in the aging services workforce.

Voters in Duluth and St. Paul pass ballot referendums on Tuesday intended to provide added protections to renters. Member organizations who operate apartments or assisted living facilities should be aware of these changes and how they may affect their operations.

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.

On Oct. 28, the Walz Administration announced it would be using a new process for Minnesota Department of Human Services (DHS) to review claims for certain Medicaid benefits and services before they are paid.

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.

Providers enrolled with Minnesota Health Care Programs (MHCP) are provided a MN-ITS Mailbox that is used by DHS to provide important information. MN–ITS will soon be moving to LoginMN. Enrolled providers will receive a pop-up message in MN–ITS to enter and confirm your work email and phone number.

A few months ago, LeadingAge Minnesota was contacted by a MinnPost reporter who was developing a series about the work of the Nursing Home Workforce Standards Board—with an initial focus on the Board’s forthcoming minimum wage rules and their anticipated impact on the long-term care sector.

The Agency for Healthcare Research and Quality (AHRQ) recently released a practical, evidence-based toolkit designed specifically for long‐term care organizations to reduce the risk of skin compromise and the spread of multidrug‐resistant organisms (MDROs). Because residents live in the same place where they receive care, the environment and resident interactions present unique prevention challenges.

LeadingAge recently emailed complimentary copies of the 2025 compensation reports for nursing facilities and senior housing providers to members who participated in those surveys.  Copies of those reports are now available for purchase by members who did not participate.

The latest Nurse Professional Liability Claim Report: 5th Edition, released by CNA and the Nurses Service Organization (NSO), reveals a growing concern for those working in our settings. Over the past five years, nearly half of all closed nurse malpractice claims have involved professionals working in long-term care, assisted living, or home health settings.

LeadingAge Minnesota’s Community Engagement Workgroup recently gathered for a full day of collaboration and planning to strengthen local connections across the state. The event featured county commissioners and member leaders who shared insights and strategies to advance community partnerships statewide.

A LeadingAge Minnesota Quality Work Group has developed a Quick Guide to Understanding the Federal and State Nursing Home Quality Measures & Programs — a concise, easy-to-use resource designed to help providers navigate the complex landscape of quality programs that impact nursing homes.

An addition to Minnesota’s Assisted Living Bill of Rights was passed in the 2025 legislative session and is effective Jan. 1, 2026. The addition simply ensures the right to have a support person physically present at the times of a resident’s choosing.

LeadingAge Minnesota members are taking action to prevent mechanical lift falls by pledging to implement the Safe Lift: STOP for Safety process. These organizations are leading the way in creating safer, more respectful resident transfer practices.

LeadingAge Minnesota is hosting two consecutive webinars on Tuesday, Oct. 14, from 1–3 p.m. to help providers prepare for the Jan. 1, 2026 implementation of Minnesota’s new Paid Leave laws. Sessions will provide practical details and strategic guidance on navigating the state’s complex web of leave requirements.

Data submission for Quarter 3, 2025 is now open in the LeadingAge Minnesota Data Portal. Data submission for all LeadingAge Minnesota Data Portal applications is due by Oct. 31. Take advantage of this opportunity to track your operational performance over time and benchmark your data against others at the state, regional and other comparison groups, such as groups with similar capacity and services. 

Our New American Resource Map is an interactive tool that features local resources across the state of Minnesota. All housed in one centralized location, this resource highlights community, cultural, health, education, childcare, legal, food, and workforce resources to support New Americans’ journeys in making MN their home.

For nearly 30 years, the Senior LinkAge Line has been Minnesota’s primary aging resource connecting older Minnesotans, caregivers and others to the services and supports they need.