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Licensing and Certification Program

Long-Term Care Facility Citation Penalty Account Funds, Reports and Grant Application

Civil Money Penalty (CMP) Reinvestment Grant Opportunities

The CMP grant funding for nursing homes is now broken down into three sections. Please see below for each section:

  • NEW: COVID-19 In-Person Visitation – Funding tents and clear dividers for nursing homes to facilitate in-person visits outdoors.
  • COVID-19 Communicative Technology – Funding tablet and tablet-related accessories for nursing home residents. This program enables residents to have virtual telehealth and family visits.
  • Reinvestment Projects – Funding for a variety of projects for nursing homes to benefit residents. Projects can span a wide array of topics and involve improving the quality of life for residents.

COVID-19 In-Person Visitation Funding

The Centers for Medicare & Medicaid Services (CMS) has issued guidance for Nursing Home Visitation – COVID-19.1 By following a person-centered approach and adhering to the core principles of COVID-19 infection prevention, visitation can occur safely based on this guidance. Recognizing that considerations allowing for visitation in each phase of re-opening may be difficult for residents and their families, CMS has developed this application template for requests for the use of Civil Money Penalty (CMP) Reinvestment funds to provide nursing homes with in-person visitation aids.

Examples of allowable uses of CMP Funds for in-person visitation aids:

  • Tents including installation (purchase and/or rental)
  • Clear dividers (e.g., plexiglass or similar product) including installation

Prohibited expenses include but are not limited to:

  • Fans
  • Ventilation systems
  • Personal Protective Equipment (PPE)
  • Portable fire extinguishers of approved types
  • Disinfectant and Cleaning Supplies (Disinfectant wipes, hand sanitizer, etc.)
  • No-Smoking signage
  • Administrative fees
  • Indirect Cost. For example: federally determined indirect (facilities and administrative-F&A) costs such as staff fringe benefits or facility maintenance.
  • Travel expenses
  • COVID-19 testing and testing equipment

How to Apply:

NOTE: Applicants for COVID-19 in-person visitation funds are required to use the provided template. CDPH will not approve applications using alternative formats.

Once completed, the application must be sent to CMPGrantApplications@cdph.ca.gov.

Applicants cannot use the standard CMP Reinvestment application process to supplement their visitation aid request to obtain additional in-person visitation aids in excess of the $3,000 maximum limit.  

How to Receive Payment:

Facilities must provide a quote or receipt at the time of invoicing (not at the time of application). The invoice submitted to the CDPH must not exceed the quantity of each item approved and the total amount of funding approved. For example, if a facility did not request plastic dividers, the plastic dividers cannot be added to the invoice for reimbursement.

Once a facility receives a formal approval from the CDPH they may purchase the items prior to receiving the payment. If this is not possible for the facility, they may wait for the reimbursement payment prior to completing the purchase.

COVID-19 Funding for Communicative Technology

The Centers for Medicare & Medicaid Services (CMS) has issued Guidance for Infection Control and Prevention of COVID-19. This guidance directs nursing homes to significantly restrict visitors and nonessential personnel to protect nursing home residents. Recognizing that visitor restrictions may be difficult for residents and families, CMS has developed this application template for requests for the use of Civil Money Penalty (CMP) Reinvestment funds to provide residents with adaptive communicative technologies.

Examples of allowable uses of CMP Funds for communicative technologies and accessories:

DevicesAccessories
  • iPad or iPad Mini
  • Protective covers that can be cleaned and disinfected
  • Amazon Echo Show
  • Assistive/adaptive equipment
  • Kindle Fire
  • Tripods (floor or table top)
  • Microsoft Surface
  • Headphones
  • Samsung Galaxy Tablet
  • Tablet cleaning and disinfection
    products that are in accordance with
    recommendations of the device manufacturer
  • ​Facebook portal
  • Or any other device
Prohibited expenses include but are not limited to:
  • Travel
  • Internet or software subscription fees
  • Administrative fees
  • Indirect Cost. For example: federally determined indirect (facilities and administrative-F&A) costs such as staff fringe benefits or facility maintenance.

How to Apply:

NOTE: Applicants for COVID-19 communicative technology funds are required to use the provided template. CDPH will not approve applications using alternative formats.

Once completed, the application must be sent to CMPGrantApplications@cdph.ca.gov.

How to Receive Payment:

Facilities must provide a quote or receipt at the time of invoicing (not at the time of application). The invoice submitted to the CDPH must not exceed the quantity of each item approved and the total amount of funding approved. For example, if a facility did not request tablet cases, the cases cannot be added to the invoice for reimbursement.

Once a facility receives a formal approval from the CDPH they may purchase the items prior to receiving the payment. If this is not possible for the facility, they may wait for the reimbursement payment prior to completing the purchase.

Civil Money Penalty (CMP) Reinvestment Grant

About CMP Funds

The Centers for Medicare & Medicaid Services (CMS) may impose federal penalties against a nursing home when it is not in compliance with one or more Medicare and Medicaid participation requirements.

A portion of the funds are returned to the states where the CMPs are imposed. These funds are reinvested via a grant process to support activities that benefit nursing home residents by improving their quality of life. Read more about the funding in our All Facilities Letter (AFL 19-03) (PDF) announcing the opportunity.  

CMP funds may be used for (but are not limited to) the following:

  • Assistance to support and protect residents of a facility that closes or is decertified
  • Time-limited expenses incurred while relocating residents to home and community-based settings or to another facility when a facility is closed or downsized (pursuant to an agreement with the state Medicaid agency)
  • Projects that support resident and family councils and other consumer involvement in assuring quality care in skilled nursing facilities (SNFs)
  • Facility improvement initiatives approved by CMS, such as joint training of facility staff and surveyors, or technical assistance for facilities implementing quality assurance and performance improvement programs.

How to Apply for CMP Funds

An organization should fill out a CMP grant application and include details such as target audience, intended outcome, deliverables, sustainability, and replicability of the project. Once completed, the application should be sent to CMPGrantApplications@cdph.ca.gov(Note: Due to the length of time for the contract approval process, all applications submitted after 12/10/2019 should have a projected start date no earlier than 7/1/2020.)

Review of Applications

Applications will be reviewed within 14 business days of receipt. Evaluations will be assessing projects based on items such as:

  • Eligibility of the proposed project
  • Benefit to residents of SNFs
  • Proposed metrics of outcomes, replicability, budget and distribution of funds
  • Targeted population: diversity, geographic locations, consideration of ADA needs

If approved, CDPH will submit the application within 30 business days of receipt to CMS for review and signatory acceptance. Following an approval by CMS, CDPH will initiate the contract process with approved applicants. (Please allow 6-7 months for contract processing and execution.)

Prior Funded Projects

More information about CMP-funded projects in California can be found on the CMS CMP Reinvestment Resource website page.

CMP Fund Statements

Survey & Certification Group Memo: 12-13-NH (PDF) (Opens in new tab)

State Health Facilities Citation Penalties Account (PDF)

Federal Health Facilities Citation Penalties Account (PDF)

Current Award Amounts (PDF)

Appropriations

Annual Budget Act appropriations from both the state and federal accounts are provided to the CDPH, CHCQ, L&C for all of the purposes previously identified. CDPH uses the funds primarily for temporary management appointments and improvement of quality care in long-term healthcare facilities.

The Department of Aging receives an annual Budget Act appropriation from the state account for its Ombudsman Program.
 
* If you are having difficulty accessing any document, please contact CDPH at GFEDU@cdph.ca.gov to request the information in an alternative format.

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