Request for Information for Exceptions to the Moratorium on the Licensure and Certification of New Nursing Home Beds in Hardship Areas - Minnesota Department of Health

Request for Information for Exceptions to the Moratorium on the Licensure and Certification of New Nursing Home Beds in Hardship Areas

State Register notice August 17, 2015

Printable version as published in State Register (PDF: 42KB/5 pages)

Purpose

The commissioner of health, in coordination with the commissioner of human services, is accepting written information from interested parties demonstrating that an area, or areas, of the state of Minnesota lack sufficient access to nursing home beds and should be declared a hardship area as delineated in Minnesota Statutes 144A.071, subd.3. To be considered, responses to this request must be received by November 16, 2015.

Criteria for Determination of a Hardship Area

The following criteria are to be used when determining that an area of the state is a hardship area with regard to access to nursing facility services:

  1. a low number of beds per thousand in a specified area using as a standard the beds per thousand people age 65 and older, in five year age groups, using data from the most recent census and population projections, weighted by each group's most recent nursing home utilization, of the county at the 20th percentile, as determined by the commissioner of human services;
  2. a high level of out-migration for nursing facility services associated with a described area from the county or counties of residence to other Minnesota counties, as determined by the commissioner of human services, using as a standard an amount greater than the out-migration of the county ranked at the 50th percentile;
  3. an adequate level of availability of noninstitutional long-term care services measured as public spending for home and community-based long-term care services per individual age 65 and older, in five year age groups, using data from the most recent census and population projections, weighted by each group's most recent nursing home utilization, as determined by the commissioner of human services using as a standard an amount greater than the 50th percentile of counties;
  4. there must be a declaration of hardship resulting from insufficient access to nursing home beds by local county agencies and area agencies on aging; and
  5. other factors that may demonstrate the need to add new nursing facility beds.

The Request for Information (RFI) must use the data provided under section 144A.351, from the MN Department of Human Services report “Status of Long-term Services and Supports,” posted at Exceptions to the Moratorium on the Licensure and Certification of New Nursing Home Beds in Hardship Areas (see Hardship Area Criteria Table), along with any other relevant data the submitter considers supportive of a hardship declaration.

This is a two-step process. The first step is the Request for Information (RFI) to determine if there is an area of the state that is a hardship area with regard to access to nursing facility services. The second step is to issue a Request for Proposals (RFP) for each designated hardship area on March 14, 2016. The RFPs would be for projects that add new licensed nursing home beds.

Eligibility to Submit Information

A submission of information supporting the declaration of a hardship area may be submitted by any interested party. The information must be limited to five pages for the narrative, plus attachments for data tables and letters of support.

Review and Analysis of RFIs

Within one week of the close of the submission date, all timely, complete and acceptable submissions will be posted at Exceptions to the Moratorium on the Licensure and Certification of New Nursing Home Beds in Hardship Areas. Comments on submissions will be accepted until December 23, 2015 from any interested party. Instructions for submitting comments will be provided at Exceptions to the Moratorium on the Licensure and Certification of New Nursing Home Beds in Hardship Areas. The commissioners of health and human services will review submissions and comments and may review any other information available, and will determine if any areas of the state are to be declared hardship areas. For any designated hardship area, the commissioner of health shall publish a Request for Proposals (RFP), in accordance with MS 144A.073 and Minnesota Rules, parts 4665.1070 to 4665.1098. The RFP will be published on March 14, 2016.

Questions Concerning the RFI

Any questions relating to the RFI process must be submitted in writing via Fax, US mail or email to:
Mary Cahill
Minnesota Department of Health
Health Regulation Division
P.O. Box 64900
St. Paul, MN 55164-0900
Fax: 651-215-9695
mary.cahill@state.mn.us

No answers will be provided in response to phone calls. Copies of all questions and their answers will be posted at Exceptions to the Moratorium on the Licensure and Certification of New Nursing Home Beds in Hardship Areas. Only responses in writing by staff of the Minnesota Department of Health will be considered official. The closing date for the receipt of questions will be October 15, 2015.

Procedures for Submitting Responses

No responses submitted by facsimile machine will be accepted. Two (2) written copies of the responses must be received no later than 4:00 p.m. on Friday, November 16, 2015 by:


U.S. Mail Service:
Darcy Miner
Minnesota Department of Health
Health Regulation Division
P.O. Box 64900
St. Paul, MN 55164-0882

Courier or Walk-in Service:
Darcy Miner
Minnesota Department of Health
Health Regulation Division
85 East Seventh Place, Room 220
St. Paul, MN 55101


Thursday, August 06, 2015 at 09:13AM