Long-Term Care Facility Citation Penalty Account Funds, Reports and Grant Application
*New COVID-19 Grant Opportunity*
COVID-19 In-Person Visitation ā Air Quality Funding
The Centers for Medicare & Medicaid Services (CMS) updated the In-Person Visitation application on February 8, 2022, to include a distinct funding allotment ($3,000.00) for portable fans and portable room air cleaners with high-efficiency particulate air (HEPA, H-13 or 14) filters. This application template allows Skilled Nursing Facilities/Nursing Facilities to request Civil Money Penalty (CMP) funds to allow nursing homes to purchase air quality resources in response to the ongoing COVID-19 pandemic. Facilities may use this updated template to also apply for $3,000 in funding for In-Person Visitation Aids related to tents and clear dividers to facilitate in-person facility visits; however, facilities should not submit duplicate requests for tents/clear dividers funding. Please see the PDF application below for a listing of allowable expenses that are reimbursable through this grant.
How to Apply:
NOTE: Applicants for COVID-19 in-person visitation and air quality 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 air quality funding in excess of the $3,000 maximum limit.
The funding for HEPA filters is distinct. If facilities did not use the total $3000 allotment of the available funds for In-Person Visitation Aids (plexi-glass dividers and tents), the remaining funding does not combine with the Air Quality grant funding ($3,000) for a higher allotment of funding.
Per CMS' guidance, if facilities purchased approved air quality products on or after February 2, 2022, facilities may file an application for reimbursement. If facilities have not purchased approved items yet, facilities may also submit an application and apply for funding. Facilities may also include the cost of shipping and taxes in their application requests. Replacement HEPA filters is considered a non-allowable expense.
How to Receive Payment:
Facilities must provide receipts at the time of invoicing (not at the time of application). The invoice submitted to the CDPH must not exceed the quantity and cost of each item approved and must not exceed the total amount of funding approved. For example, if a facility applied for three portable fans, the facility cannot invoice for four portable fans. Invoices cannot exceed actual spending as reflected by a facility's receipt(s).
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:
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Reinvestment Projects ā 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.
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COVID-19 In-Person Visitation ā Funding tents and clear dividers for nursing homes to facilitate in-person visits outdoors.
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COVID-19 Communicative Technology ā Funding tablet and tablet-related accessories for nursing home residents. This program enables residents to have virtual telehealth and family visits.
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 complete a CMP grant application and include details such as the target audience, intended outcome, deliverables, sustainability, and replicability of the project. Once completed, the application should be sent to CMPGrantApplications@cdph.ca.gov.
Application Materials (updated as of August 2021):
*NEW* - Resource Guides for Applying:
The resource guides below will provide more information on how to request funding, the limitations, and what is expected in a complete application.
*Latest application materials and resource guides for applying documents directly from CMS website can be downloaded as a packaged file by clicking on this link*
*Please find helpful CMP program and application resources under Downloads at Civil Money Penalty Reinvestment Program | CMS (https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/LTC-CMP-Reinvestment)*
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
- Whether the proposal exceeds (and does not duplicate) current regulatory requirements for SNFs
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 6ā7 months for contract processing and execution.)
Funding Disbursement
Applicants should note that funding for approved CMP grant projects is not provided up-front in a lump-sum deposit. Grantees will expense grant costs upfront and invoice the CDPH with supporting documentation for expenses for reimbursement during the contract period. Grantees shall not start project work or incur costs prior to the execution of the contract.
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
COVID-19 Funding for Communicative Technology
The Centers for Medicare & Medicaid Services (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.
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.
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.