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Ohio Civil Money Penalty (CMP) Reinvestment Program


Civil money penalties (CMPs) are fines imposed on nursing facilities that do not meet federal health and safety standards. States may use CMP funds for projects that improve resident outcomes in Medicare- and Medicaid-certified nursing facilities. Ohio’s CMP fund is administered by the Bureau of Long-Term Services and Supports within The Ohio Department of Medicaid (ODM). ODM administers CMP grants for quality improvement projects to organizations with the most potential to meet the following criteria:

  • Produce results that may be used to benefit all Ohio nursing facility residents
  • Produce sustainable improvements in residents' lives
  • Innovative and data-driven in their approach to quality improvement

Organizations that may qualify for use of CMP funds include, but are not limited to:

  • Consumer advocacy organizations
  • Resident or family councils
  • Professional or state nursing home associations
  • State Long-term Care Ombudsman program
  • Quality improvement organizations
  • University graduate programs
  • Private contractors
  • Corporations, both non-profit and for-profit

How to apply

Please use the CMP Reinvestment Application and Ohio CMP Reinvestment Application Budget when applying to use CMP funds. Submit both completed documents to NFCMP@medicaid.ohio.gov

Approval Process

Applications are subject to a three-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.

  • Step One: ODM CMP Team. Application is reviewed within approximately 2-3 weeks of submission by the members of the CMP Team within the ODM Bureau of Long-Term Services and Supports. Decisions to move applications forward are made based upon project alignment with CMS and ODM mission and 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.
  • Step Two: ODM Leadership. Application is reviewed within 4-6 weeks of submission to leadership within ODM. Revisions to the application may be requested by leadership at this step.
  • Step Three: CMS Decision. Application is recommended by ODM to the CMS Regional Office for approval. The CMP Reinvestment Program (CMPRP) team will notify the State if there are any deficiencies in the application. The State then responds within 10 calendar days and submits an updated application. The CMPRP team will reach out to the State up to two times to request these changes. CMS will make a decision to approve or deny the application within 40 days of the original submission to the Regional Office.

For Inquiries and More Information

For inquiries about the Ohio Civil Money Penalty Reinvestment Program, please email NFCMP@medicaid.ohio.gov.  For more information on the Civil Money Penalty Reinvestment Program, please go to the CMS webpage Civil Money Penalty Reinvestment Resource.




The Ohio Department of Medicaid is currently accepting applications from nursing facilities (NFs) interested in requesting the use of Civil Monetary Penalty (CMP) funds to reimburse for the purchase of portable fans and portable room air cleaners with high efficiency particulate air (HEPA H-13 or -14) filters to increase/improve air quality, thereby helping to facilitate safer indoor visitation.

For more information from the Centers for Medicare and Medicaid Services about this visitation project and related visitation guidelines, visit https://www.cms.gov/files/document/qso-20-39-nh-revised.pdf

To apply, go to https://nfcmprequests.medicaid.ohio.gov