News

Over the past six months, the Minnesota Department of Health (MDH) has been issuing “Directed Plans of Correction” (DPOC) to nursing homes cited for deficient infection control practices. Care centers have raised questions and concerns about the DPOC process, and we worked recently with MDH to clarify two key issues.

With one month of the legislative session complete, lawmakers are in full swing putting together a budget for 2022-2023 Governor Walz introduced his budget proposal last week and lawmakers have turned their attention to examining the details of that proposal this week. Here is what you need to know about what’s happening at the Capitol:

As the legislature enters the last week of January, the pace of the legislative session has picked up and Governor Walz has released his proposed 2022-2023 budget, which holds senior services harmless. Here’s what you need to know about what’s happening at the Capitol:

Long-term care organizations work tirelessly to keep residents and staff as safe as possible during the pandemic. We know congregate living settings can have significant outbreaks when COVID-19 is brought into the building. These outbreaks impact the health and lives of our residents and staff. The CDC has long-reported small family gatherings increase the number of outbreaks in long-term care settings. 

Starting last week, the Minnesota Department of Health (MDH) is conducting a weekly survey on vaccination in long-term care settings. The survey allows MDH and the provider associations to track the progress of vaccination of residents and staff in sites across the state. Providers are asked to visit the vaccine REDcap survey link each Wednesday to updated their information.

The Office of Administrative Hearings (OAH) conducted a remote-access public hearing on the proposed assisted living licensure rules on Jan. 19^th and 20^th. This is a critical step in finalizing the rules that will govern assisted living providers under the assisted living licensure law that takes effect later this year.

The Minnesota Department of Health (MDH) is urging long-term care settings, both nursing homes and assisted living providers, to complete a short weekly survey that will help the State track progress towards vaccinating residents and staff for COVID-19. 

As we noted in last week’s newsletter, new CMS criteria for what triggers focused infection control (FIC) surveys in nursing homes will have the effect of reducing the volume and frequency of FIC surveys for many care centers. The Minnesota Department of Health (MDH) signaled this week that these changes may free up enough time for surveyors to resume standard recertification surveys. MDH did not say definitively that it plans to do this, or identify any concrete timeline, but they told us they are exploring it.

Minnesota’s 2021 legislative session began Tuesday at noon, but thanks to the record seven special sessions held from June through December, it feels like the 2020 session never really ended.

CMS issued a revised memo QSO-20-31-ALL-REVISED on Jan. 4 detailing new triggers for focused infection control (FIC) surveys. In addition to the two triggers previously identified, CMS has added 5 additional scenarios that will be used to help state survey agencies more narrowly target FIC surveys. The new criteria are effective immediately and will have the effect of reducing the volume of FIC surveys for many providers.

LeadingAge Minnesota received information this week from the Minnesota Department of Health (MDH) about the status of implementation of monoclonal antibody therapies for COVID-19, and we wanted to share the lates with members.

On Monday evening, the Congress passed a $900 billion COVID-19 relief package that includes provisions that provide some additional assistance to long-term care providers. However, last night President Trump threatened to derail the bill and called on Congress to send a more suitable bill or wait until the next administration to deliver a COVID relief package.

On Monday, the Minnesota Department of Health (MDH) published Proposed Rules and Notice of Hearing in the State Register. This effectively begins the formal public comment period on the proposed rules that will govern licensed assisted living settings after Aug. 1, 2021.  This is a significant advocacy opportunity for LeadingAge Minnesota members, as the process invites the public to weigh in on the rules and express support or concerns.

Legislature Adjourns without Bridge Funding for LTC COVID-19 Response

The Minnesota Legislature met yesterday for the seventh special session of 2020, required as the Governor extended the Peacetime Emergency for another 30 days, and to pass the latest round of COVID-19 relief.  A $216 million COVID 19 relief package received bipartisan support in both the House and the Senate and is on its way to the Governor for his signature. The bill includes:

Today, the Department of Health and Human Services (HHS) started distributing the second round of infection control incentive payments to care centers who earned them for the month of October.  They also released the details about which providers received payments and how much the payments were.

Centers for Medicare and Medicaid Services (CMS) modified how surveyors should look at staff screening procedures and they have removed the requirement for active screening. Requirements for the organization in reference to staff screening include the need for a screening process that all staff must complete prior to or at the beginning of their shift.

First Phase to Include Healthcare Personnel and LTC Residents

The Minnesota Department of Health (MDH) issued two documents on Tuesday, Dec. 8, 2020 discussing several topics regarding vaccines.  Recommendations for initial Phase 1a vaccination include healthcare personnel and residents of long-term care facilities.

The Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) held an emergency meeting on Dec. 1 to review allocation recommendations for vaccines in phase 1 distribution. The advisory committee voted to include resident’s of long-term care communities in Phase 1A of vaccination. Long-term care residents now join healthcare workers in Phase 1A vaccination recommendations. For more information on ACIP you can visit the CDC’s Advisory Committee on Immunization Practices website.

Earlier this year, the state produced two special budget updates to look at the impact of the COVID-19 pandemic on the state’s economy. Those updates showed disturbing projected budget shortfalls of $2.4 billion for the current biennium and $4.7 billion for the biennium starting July 1, 2021. Since that time, state revenue collections have exceeded expectations and the budget looks more positive.

Today the Minnesota Department of Health published guidance entitled “Long-term Care Guidance Under Executive Order 20-99” specific to residents who leave a long-term care building for reasons other than essential medical appointments. The document references the Governor’s executive order 20-99 and makes the following points: