2026 MAGIC ACE Standing House Orders is now live

Heidi Holste — Sun, 07 Dec 2025 17:43:36 GMT

2026 MAGIC ACE Standing House Orders is now live.

We’ve updated our website with details to reflect current standards, streamline nursing workflows, and clarify when to call providers.

If you oversee care in a nursing or skilled nursing facility, this matters—your teams need the most updated guidance in hand.

Read the full details and access the updated document here: https://lnkd.in/e-5mXu-R

Nursing Facility Regulatory Provider Licensure Requirement Waiver

Heidi Holste — Mon, 05 May 2025 16:30:24 GMT

Currently, the Centers for Medicare and Medicaid Services (CMS) allows certain non-physician providers to perform the initial comprehensive visit, admission orders, and all required visits and orders for non-Medicare A patients. This information is located in the CMS State Operations Manual Appendix PP SOM - Appendix PP (cms.gov), See F712 and the corresponding information referenced in Table 1.

While CMS allows non-physician providers to conduct visits more broadly, Minnesota State rules remain more restrictive. MDH does plan to update the rules at 4658.0710 - MN Admission Orders and Physician Evaluations Administrative Rule to align with CMS. During the interim MDH is suggesting facilities request a waiver to the state rule. A waiver to 4658.0710 would allow physician assistants, nurse practitioners, and clinical nurse specialists to perform tasks allowed by CMS but currently prohibited by Minnesota state rule.

MAGIC encourages facilities and providers to collaborate to determine whether a waiver is needed to comply with patient visits, given the known physician shortage in Long-Term and Post-Acute Care.

If a waiver is needed, the facility should request a waiver with such language as included in Appendix A. Facilities can submit waiver requests to: Health.CM-cert@state.mn.us.

Appendix A: SNF/NF Waiver Request Template

Minnesota Association of Geriatrics Inspired Clinicians News

2026 MAGIC ACE Standing House Orders is now live

Nursing Facility Regulatory Provider Licensure Requirement Waiver