Ohio Civil Money Penalty (CMP) Reinvestment Program

Overview

Nursing facilities are inspected by state surveyors for compliance with federal requirements for participation with Medicare and/or Medicaid (42 CFR 483 Subpart B). When noncompliance is identified, the Centers for Medicare and Medicaid Services (CMS) may impose a civil money penalty (CMP) to incentivize swift correction of and to deter future noncompliance to protect the health and safety of residents. 

The Centers for Medicare and Medicaid Services (CMS), per 42 CFR 488.433, requires that ninety percent of collected civil money penalties (CMP) from states be returned to the responsible state agency and used entirely for activities that protect or improve the quality of care or quality of life for nursing facility residents. The Ohio Department of Medicaid (ODM) is the responsible state agency for CMP funds per ORC 5162.66. All activities and plans for utilization of CMP funds must be approved by CMS. The state plan for Ohio states that at least one time per year, Ohio will solicit CMP-Reinvestment Program grant applications that will benefit nursing home residents.

Grant Opportunities

ODM is currently not accepting Nursing Facility Grant applications

Applications are only accepted through the Alchemer platform. Applications and supporting documentation received via the United States Postal Service, email, or fax will not be accepted. 

To prepare for the next funding cycle, please see the resources below:

• Please refer to the CMP Reinvestment Program Application Resources and Allowable and Non-allowable Uses of CMP Funds when completing the CMP-RP Grant Application.
• The application on the Alchemer platform mirrors the Example of the CMP-RP grant application.
• Applicants must use the Ohio CMP Reinvestment Program Application Budget (xlsx. Format)
• Applicants must submit Letters of Support from all nursing facilities interested in participating (pdf/docx format)
• Expansion/extension/continuation projects, a letter or email from the State Agency where the CMP-RP was approved, stating whether the applicant met or is meeting project goals/objectives, and whether the SA recommends expanding the project to additional nursing homes.

If you have any questions, please contact the Ohio CMP-RP Team at the CMP mailbox

Ohio CMP-RP Application Process

Civil Money Penalty-Reinvestment Program Application Process

Report Templates

SFY 2025 Reconciliation 

Quarterly Report Template

Final Report Template

For Inquiries and More Information

For questions about the Ohio Civil Money Penalty-Reinvestment Program, please send an  email to the OH CMP-RP mailbox. 

CMS programs available to long-term care facilities at no cost:

Mental and Behavioral Health:

CMS is committed to improving the quality of care for residents with underlying serious mental illness (SMI) and/or substance use disorder (SUD). CMS has partnered with the Substance Abuse and Mental Health Services Administration (SAMHSA) to launch the National Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF). The COE-NF offers certified Medicare and Medicaid nursing facilities a centralized resource hub with access to technical assistance and training to care for residents with SMI and/or SUD, at no cost. To obtain information and access to this program, visit http://www.nursinghomebehavioralhealth.org

Resources to Improve Quality of Care:

CMS launched a new “Quality in Focus” interactive video series, at no cost. The series of 10–15-minute videos are tailored to reduce the deficiencies most commonly cited during the CMS survey process, such as infection control and accident prevention. Reducing these common deficiencies increases the quality of care for people with Medicare and Medicaid. See the Quality, Safety, & Education Portal Training Catalog, select Quality in Focus.

Workforce:

CMS is committed to improving the nursing home workforce. As announced on September 1, 2023,

CMS plans to launch a national campaign to help increase the nursing workforce in nursing homes. More information on this campaign will be released in the future, and there will be opportunities for states to partner with CMS on this program.

Toolkits:

The toolkit resources aid nursing homes to reduce adverse events, improve staff quality, improve employee satisfaction, and improve dementia care.

• Head to Toe Infection Prevention Toolkit (ZIP)
• Developing a Restful Environment Action Manual (DREAM) Toolkit (ZIP)
• CMPRP-Toolkit 1 – Employee Competency Assessments (ZIP)
• CMPRP-Toolkit 2 – Employee Satisfaction Survey (ZIP)
• CMPRP-Toolkit 3-Guide to Staff Satisfaction (PDF)

Projects: