Civil Money Penalty Reinvestment Program (CMPRP) Revisions (September 2023)

Agency for Health Care Administration

Health Quality Assurance

Health Care Regulation/68700700

SA 230 SFY25/26

100777

Subsection 20.425(6) and Section 400.0239, Florida Statutes

The Civil Money Penalty Reinvestment Program (CMPRP) consists of monetary penalties (fines) imposed by the Centers for Medicare and Medicaid Services (CMS) against skilled nursing facilities (SNFs), nursing facilities (NFs), and dually-certified SNFs/NFs that have failed to maintain compliance with federal requirements.  A portion of these funds are returned to the State and may be used for projects that benefit nursing home residents and that protect or improve their quality of life or quality of care. CMS retains grant approval authority, but oversight responsibility is assigned to the Agency for Health Care Administration (AHCA).

AHCA's efforts are directed at using CMPRP funds to support activities that protect or improve the quality of care or quality of life for long-term care facility residents.

For purposes of this document, the following definitions are used.
1) AHCA: State of Florida, Agency for Health Care Administration
2) CMP: Civil Money Penalty and may be used interchangeably with CMPRP
3) CMPRP: Civil Money Penalty Reinvestment Program
4) CMS: Centers for Medicare and Medicaid Services
5) Grant: Executed agreement signed by the AHCA and Applicant that authorizes the project to be performed
6) Grantee/Recipient: Terms used interchangeably to refer to the Applicant that executes a grant agreement with the AHCA to perform the project
7) Program: Civil Money Penalty (CMP) Grant Program
8) Project: Work described in the application for funding and approved for grant award

Grants

Local Government, Non-Profit, For-Profit

Funds may be granted to any entity for proper use of Centers for Medicare and Medicaid Services (CMS) approved CMP projects to protect or improve the quality of life or quality of care for long-term care (LTC) facility residents provided the responsible receiving entity is:

* Qualified and capable of carrying out the intended project or use;
* Not in any conflict of interest relationship (or the appearance of conflict of interest) with the entity or entities that will benefit from the intended project or use; and
* 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
* CMS-certified long-term care facilities [skilled nursing facility (SNF) or nursing facility (NF)]
* Vendors
* State Agencies
* Academic institutions
* Quality Innovation Network - Quality Improvement Organization (QIN-QIO) projects if not already receiving federal funding to complete them

The AHCA has a standing notice for receiving applications on the Agency's Internet site at the following web address.

https://ahca.myflorida.com/health-care-policy-and-oversight/bureau-of-health-facility-regulation/long-term-care-services-unit/nursing-home-civil-money-penalty-cmp-reinvestment-projects

Interested organizations must complete the CMP Funds Application appearing on the following website.

https://ahca.myflorida.com/health-care-policy-and-oversight/bureau-of-health-facility-regulation/long-term-care-services-unit/nursing-home-civil-money-penalty-cmp-reinvestment-projects

Applications and documentation must be transmitted electronically to the AHCA CMP Program Coordinator whose email address appears on the above website.

Applications will not be accepted by fax, hand delivery or mail.

Once an application is received, an email will be sent acknowledging receipt.

There is no application deadline.  However, funding may be limited and applications for projects may be held pending receipt of additional funding/budget by the AHCA.  

If awarded a grant under the CMP, the grantee may be paid on a cost reimbursement, fee schedule and/or fixed price by deliverable basis, or any combination thereof.  Documentation supporting payment by the grantee must be submitted with the invoices to the AHCA for payment. 

The agreement executed between the AHCA and grantee must include sufficient documentation to support a clear payment methodology.  Detailed budgets must be submitted with the application for review and analysis by the AHCA.

Marsha Webb
Government Analyst II - OPS
Bureau of Field Operations
2727 Mahan Drive, MS59
marsha.webb@ahca.myflorida.com
(850) 228-7109

https://ahca.myflorida.com/health-care-policy-and-oversight/bureau-of-health-facility-regulation/long-term-care-services-unit/nursing-home-civil-money-penalty-cmp-reinvestment-projects