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1135 Waiver for Skilled Nursing Facility NARs Expires March 29, 2023 | SNF
In a Dear Administrator letter dated October 5, 2022, providers were notified that the Centers for Medicare and Medicaid Services (CMS) approved a statewide 1135 waiver to extend the nurse care aide training and certification deadline to March 29, 2023, or until the end of the Public Health Emergency (PHE) (whichever date comes first) for Washington. With the PHE now ending on May 11, 2023, the 1135 waiver extending the ability of a NAR employed in a SNF to work beyond the four-month rule deadline will expire on March 29. This means that on March 29, 2023, any NAR that has been employed longer than four months and has not been trained, tested, and received their NAC credentialing from the Department of Health, will no longer be able to work caring for residents or performing tasks of a nursing assistant. Facilities will revert to the pre-pandemic requirements for a nursing assistant student enrolled in an approved training program to pass both their written and skills testing and obtain their credentialing from the DOH within four months from date of hire. The requirements can be found in 42 CFR 483.35(d), F Tag 728. Read more.
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