MDH Provides Flexibility and Clarification for Nurse Aides Working Under the 1135 Waiver

Posted on June 2, 2022 by Anna Mowry

On June 6, the Centers for Medicare and Medicaid Services (CMS) will terminate the COVID-19 waiver that has allowed nurse aides to serve seniors without being on the Nursing Assistant Registry. Nurse aides hired or worked during the waiver have until Oct. 7 to be placed on the Minnesota Nursing Assistant Registry.

On a monthly Nurse Assistant call, the Minnesota Department of Health (MDH) had previously communicated near-term deadlines for those working under the 1135 Waiver. With the termination of the waiver quickly approaching, we advocated strongly for flexibility and further clarity on the action required for those working under the waiver to ensure nurse aides can continue providing services for seniors throughout the state.

MDH has provided helpful clarification on the three different pathways to transition caregivers who have been working under the 1135 Waiver.

Three Pathways

Pathway 1: Enroll in a state-approved Nurse Aide Training and Competency Evaluation Program (NATCEP) and complete the training program and pass the exam by Oct. 7.

Pathway 2: Enroll in a NATCEP training program, but take advantage of the transition pathway developed by MDH, allowing facilities to credit training received while working in a long-term care facility under the waiver towards the required 75-hours of training. Individuals taking this route must still enroll in a NATCEP program to ensure training requirements are met and assist in completing any additional training needs. The training and testing must be completed and passed by Oct. 7.

Pathway 3: Choose not to enroll in a NATCEP program, but challenge and pass the test before Oct. 7. The nurse aide will have three attempts to successfully pass the knowledge and skills exams. If they do not pass the test by Oct. 7, they cannot work as a nurse aide until completion of a NATCEP program.

Please refer to the updated MDH document Placement on Minnesota’s Nurse Aide Registry for Nurse Aides Working during the 1135 Waiver for more information on these pathways.

We will continue to work closely with our partners at MDH and Minnesota State Colleges to discuss strategies to ensure all caregivers working under the 1135 Waiver are successfully trained, tested, and transitioned to be on the registry by Oct. 6.

If you have questions or need assistance with this process, please reach out to Anna Mowry, Director of Workforce Solutions at LeadingAge Minnesota.