News

As we previewed in last week’s Capitol Conversations newsletter, we can expect lawmakers this year to focus on messaging bills, sharper partisan contrasts, and a heavy emphasis on positioning rather than policymaking. In an election year, some bills are intended to send a message to potential voters and constituents, rather than become law.

Legislators need to hear directly from long-term care providers and Day at the Capitol is your opportunity to make that happen.

On January 28, 2026, the Centers for Medicare & Medicaid Services issued Quality, Safety, and Oversight memo QSO-26-01, revising the criteria used to select nursing homes for the Special Focus Facility (SFF) program. This update carries meaningful implications for all member facilities, and we want to make sure you understand what changed and what steps you should be taking now.

The 2025 Legislature created a new rate exception program under Elderly Waiver (EW) to help hospitals discharge high need residents to assisted living and other EW settings. The new program allows for rates that would otherwise exceed the EW budget caps.

On February 10, 2026, LeadingAge Minnesota proudly honored the very best of aging services at our annual Stars Among Us Awards Banquet. For more than 35 years, our Stars Among Us Awards have recognized the individuals and organizations whose leadership, compassion, innovation, and dedication elevate the lives of older adults across Minnesota.

On February 11, a three-judge panel of the U.S. Court of Appeals for the Eighth Circuit heard oral arguments in the matter of the legal action that LeadingAge Minnesota, along with our partner in the Long-Term Care Imperative (LTCI), filed in late 2024 challenging the Nursing Home Workforce Standards Board (NHWSB) and the Holiday Pay Rule.

Adult Day Services providers have an important revalidation step to complete in 2026. Last month, high-risk providers, including Adult Day Services, were informed they must complete an off-cycle revalidation by May 31, 2026.

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 during this time, LeadingAge Minnesota has developed and compiled a set of resources designed to help organizations prepare, respond thoughtfully, and communicate with care.

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.

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.

Due to IT issues at DHS, the annual nursing home cost report for the report year ending September 30, 2025, is not yet available on the Nursing Facility Provider Portal. Given that the due date of February 1 is coming up, DHS is implementing an alternative process for collecting the data this year.

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.

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.

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.

As we reported previously, DHS has informed LeadingAge MN that, due to some internal IT challenges, they will not publish Jan. 1, 2026 nursing home Medicaid rate notices during the month of December. Nursing homes need to provide a notice to their private pay residents before the rate increase is effective on Jan. 1, even if the amount of increase is not known.

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. 

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.