Supplemental Nursing Services Agency Frequently Asked Questions

There is a nonrefundable fee of $2,442 for registering and renewing an SNSA. See Minnesota Statutes, 144A.71. 

No. Fees are specified in statute. There is no financial assistance or fee reduction. See Minnesota Statutes, 144A.71.

A controlling person is defined in Minnesota Statutes, section 144A.70. 

No. Owners or controlling persons of an SNSA do not need to possess an HLB license.

MDH requires the name and address of the bank, savings bank, or saving association in which the SNSA deposits all employee income tax withholdings. Under Minnesota Statutes, section 144A.71, subdivision 2(7) requires documentation that the SNSA filed with the commissioner of revenue: 1) the name and address of the bank, savings bank, or savings association in which the supplemental nursing services agency deposits all employee income tax withholdings; and 2) the name and address of any nurse, nursing assistant, nurse aide, or orderly whose income is derived from placement by the agency, if the agency purports the income is not subject to withholding.

Agencies will receive information about how to renew their license via email from MDH 90 days before the expiration date of their registration. This message will be sent to the email address on file with MDH (usually, the one submitted on your registration form). The email will include your username and password for the Improved Customer Service Delivery System (ICSD). All renewals must be completed in ICSD.

If the SNSA has not provided services in Minnesota in the 12 months after initial registration, they are not in compliance with Minnesota Statutes, section 144A.72, subdivision 1 (b) and are not eligible to renew their registration.

No. In order to retain your registration, you can only report staff who provided services to one of the health care facilities in Minnesota in the past 12 months.

Surveys are required for all SNSAs according to Minnesota Statutes 144A.70, subdivision 7.

Please refer to your state agency survey letter which contains supervisor's contact information to discuss a plan for receiving additional time for corrections.

Licensing orders are verified during revisit surveys. If the state licensing orders have been corrected the SNSA will be in compliance. If the SNSA is found not corrected during a revisit survey, they can be fined and/or have their registration removed. See Minnesota Statutes, section 144A.72.

Yes, sign and date the state form under "Initial Comments" section which identifies correction is completed. Signing the form will attest you are in compliance with the statutes cited. Return the form to the state agency via mail or email per directions in the MDH letter.

SNSA’s contracts must follow Minnesota statutes, rules, and laws. See Minnesota Statutes, section 144A.72.

Starting July 1, 2024, dates of correction have increased from 14 days to 21 days from the date they received their state licensing orders to correct.

Minnesota Statutes, section 214.075 must be followed before staff work with residents, patients, or clients. Registered nurses/licensed practical nurses who were licensed before 1/1/2018 require the Netstudy 2.0 background study. Registered nurse/licensed practical nurses who were licensed after 1/1/2018 require having their licensed verified to be in good standing. Staff who are not licensed through a licensing board require a DHS Netstudy 2.0 background check before employment. This includes all nursing assistants, nurse aides, and orderlies.

No, they must verify before employment.

Anyone that is identified as an owner, must complete a background study.

MDH doesn’t provide the training.  The entity is responsible to meet the licensing and statues requirements for all training needs.

Assisted Living

Minnesota Statutes, chapter 144G.

• Staffing requirements — Minnesota Statutes, sections 144G.60 to144G.64.
• Assisted Living Facilities with Dementia Care — Minnesota Statutes, sections 144G.80 to 144G.84.

Nursing homes

Minnesota Rules, part 4658.0100.

Home Care

Minnesota Statutes, chapter 144A.

• Orientation and Annual Training requirements — Minnesota Statutes, section 144A.4796.
• Home Care Provider Responsibilities; Staff — Minnesota Statutes, section 144A.4795.

Hospitals

Minnesota Rules, part 4640.0900.

• Training required — Minnesota Statutes, section 144.566, subdivision 10.

Yes, as the rehabilitation unit is part of the nursing home and staff may have access to other units. See Minnesota Statutes, 144.6503. MDH doesn’t provide the training. SNSAs may opt to communicate with nursing homes with which they have contracts.

Performance reviews are required by some health care entities per federal or state law. Refer to your contract with the health care entities you serve to determine performance review compliance.

Physicians and phlebotomists are not covered under Minnesota Statutes, sections 144A.70 to 144A.74. Please refer to Minnesota Statutes, section 144A.70, subdivision 6.

Please refer to Minnesota Statutes, section 144G.08, subdivision 73.

For caregiver, please refer to Minnesota Statutes, section 626.5572, subdivision 4. For facility, please refer to Minnesota Statutes, section 626.5572, subdivision 6 (a).

The maximum allowable charges are computed by DHS (Department of Human Services) each year. These are computed based upon one geographic group. See Minnesota Statutes, section 256R.23, subdivision 4.

The max charges are identified as registered nurses, licensed practical nurses, and nursing assistants. Positions are not referenced.