Nursing Home Civil Money Penalty (CMP) Reinvestment Projects

What Are CMP Funds?

Civil Money Penalties (CMPs) are monetary penalties imposed by the Centers for Medicare and Medicaid Services (CMS) against nursing homes that have failed to maintain compliance with federal requirements. A portion of CMPs collected from nursing homes are returned to the states in which the CMPs were imposed and may be reinvested or used for projects supporting activities that benefit nursing home residents and that protect and improve their quality of care or quality of life.

Is There a DHEC Contact for CMP Funds?

Questions, applications, and any requests for assistance can be sent directly to CMPFunds@dhec.sc.gov.

What May CMP Funds Be Used For?

CMP funds may be used for, but not limited to, the following:

  • Facility improvement initiatives, such as training or technical assistance
  • Assistance to support and protect residents of a facility that closes or is decertified
  • Culture change/quality of life
  • Projects that support resident and family councils and other consumer involvement
  • Resident transition due to facility closure or downsizing

Who May Apply for CMP Funds?

Funds may be granted to any entity for proper use of CMS-approved projects to protect or improve the quality of life for nursing facility residents provided that the responsible receiving entity is:

  • Qualified and capable of carrying out the intended project or use;
  • Not in any conflict of interest relationship with the entity or entities that will benefit from the intended project or use;
  • Not paid by a State or federal source to perform the same function as the CMP project or use. CMP funds may not be used to enlarge or enhance an existing appropriation or statutory purpose.

Examples of eligible organizations include, but are not limited to:

  • Consumer advocacy organizations
  • Resident or family councils
  • Professional or State nursing home associations
  • Certified nursing homes
  • Private contractors

Civil Money Penalty (CMP) Funds Application

To request CMP reinvestment funds for a project, complete the application below. The application also contains instructions, outlines the process, and provides an overview of guidelines for the CMP application. Please ensure all information is filled in completely and accurately. To view guidelines and/or apply, please see the link below.

Applications are subject to a two-step approval process. The overall timeframe for reviewing and approving a CMP project may vary depending upon the complexity of the project and thoroughness of the proposal that is submitted. DHEC must provide the information to, and obtain prior approval from, CMS for any project that DHEC considers for use of CMP funds, regardless of whether the use was conducted in the past.

CMP General Approval Process

Step One: Application is reviewed within approximately 2-3 weeks of submission by the members of DHEC’s CMP Team within the Bureau of Facilities Oversight in Healthcare Quality. Decisions to move applications forward are made based upon project alignment with both CMS and DHEC goals. The CMP Team may seek additional information from the applicant before making a decision. The CMP Team also may request that revisions to the application be made before continuing to the next step. DHEC’s Bureau of Facilities Oversight leadership reviews the application as the final step prior to federal submission for approval.

Step Two: If DHEC recommends approval of the application, DHEC submits the application to the CMS Regional Office for approval. CMS will notify DHEC if there are any deficiencies in the application. DHEC then responds within ten calendar days and submits an updated application to CMS. CMS will reach out to DHEC up to two times to request these changes. CMS will make a decision to approve or deny the application within 40 days of DHEC’s original submission to the CMS Regional Office.


 

Covid-19 Communicative Technology Funding

Facilities have the opportunity to purchase up to $3,000 of adaptive communicative technologies for their residents using CMP Reinvestment funds. Devices must be able to support both virtual social and telehealth visits—they must connect to the internet and have appropriate software or apps. Devices that promote virtual visits include iPads, tablets, Amazon Echo Show, Kindle Fire, and the like. Free software includes WhatsApp (international), FaceTime (Apple), Google Meet, Facebook Messenger, and Skype. The applicant should determine if the facility has internet and Wi-Fi. Applicants may also request reasonable accessories, such as screen protectors and device covers, but the total cost for devices and accessories must remain under $3,000. These devices can also be used to help residents attend telehealth visits.

The form below is a fillable application. The form contains instructions, outlines the process, and provides an overview of guidelines for the COVID-19 Communicative Technology application. Please ensure all information is filled in completely and accurately. To view guidelines and/or apply, please see the link below.

COVID-19 Communicative Technology Funding Approval Process

Applications are subject to a two-step approval process. The overall timeframe for reviewing and approving a CMP project may vary depending upon the complexity of the project and thoroughness of the proposal that is submitted. DHEC must provide the information to, and obtain prior approval from, CMS for any project that DHEC considers for use of CMP funds, regardless of whether the use was conducted in the past.

Step One: Application is reviewed within approximately 2-3 weeks of submission by the members of DHEC’s CMP Team within the Bureau of Facilities Oversight in Healthcare Quality. Decisions to move applications forward are made based upon project alignment with both CMS and DHEC goals. The CMP Team may seek additional information from the applicant before making a decision. The CMP Team also may request that revisions to the application be made before continuing to the next step. DHEC’s Bureau of Facilities Oversight leadership reviews the application as the final step prior to federal submission for approval.

Step Two: If DHEC recommends approval of the application, DHEC submits the application to the CMS Regional Office for approval. CMS will notify DHEC if there are any deficiencies in the application. DHEC then responds within ten calendar days and submits an updated application to CMS. CMS will reach out to DHEC up to two times to request these changes. CMS will make a decision to approve or deny the application within 40 days of DHEC’s original submission to the CMS Regional Office.


 

COVID-19 In-Person Visitation Aids Funding

Facilities have the opportunity to acquire up to $3,000 of funding for facilities to use towards installation, materials, and shipping costs for allowable items that enable visitation for residents. CMS is clarifying that CMPs can be used to purchase any of the following strictly for the purposes of in-person visitation: Tents or other shelter for outdoor visitation (purchase and/or rental); and/or

  • Tents or other shelter for outdoor visitation (purchase and/or rental); and
  • Clear dividers (e.g., Plexiglas or similar product) to create a physical barrier to reduce the risk of transmission during in-person visits.

The form below is a fillable application. The form contains instructions, outlines the process, and provides an overview of guidelines for the COVID-19 In-Person Visitation Aids application. Please ensure all information is filled in completely and accurately. To view guidelines and/or apply, please see the link below.

COVID-19 In-Person Visitation Aids Approval Process

Applications are subject to a two-step approval process. The overall timeframe for reviewing and approving a CMP project may vary depending upon the complexity of the project and thoroughness of the proposal that is submitted. DHEC must provide the information to, and obtain prior approval from, CMS for any project that DHEC considers for use of CMP funds, regardless of whether the use was conducted in the past.

Step One: Application is reviewed within approximately 2-3 weeks of submission by the members of DHEC’s CMP Team within the Bureau of Facilities Oversight in Healthcare Quality. Decisions to move applications forward are made based upon project alignment with both CMS and DHEC goals. The CMP Team may seek additional information from the applicant before making a decision. The CMP Team also may request that revisions to the application be made before continuing to the next step. DHEC’s Bureau of Facilities Oversight leadership reviews the application as the final step prior to federal submission for approval.

Step Two: If DHEC recommends approval of the application, DHEC submits the application to the CMS Regional Office for approval. CMS will notify DHEC if there are any deficiencies in the application. DHEC then responds within ten calendar days and submits an updated application to CMS. CMS will reach out to DHEC up to two times to request these changes. CMS will make a decision to approve or deny the application within 40 days of DHEC’s original submission to the CMS Regional Office


Resources

Approved Projects

 

Tags

Facilities Health Regulations & Licensing