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
  • Incorporate research-based methodologies

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 email NFCMP@medicaid.ohio.gov to request the Word version of the CMP Application Template. Send completed CMP applications to NFCMP@medicaid.ohio.gov

All applications must be organized according to the following nine content areas:

  1. Purpose and Summary: Project title, purpose, summary, and a hyperlink to the applicant’s website. A Sustainability statement is also required, which is a narrative of how the project will continue after CMP funding has ended. Include a statement that quarterly progress reports will be submitted to ODM during the project period, as well as a final report at the conclusion of the project that includes, but is not limited to, overall project results and lessons learned.
  2. Expected Outcomes: A short description of the intended outcomes and deliverables by which the project’s progress and effectiveness will be measured. Outcomes should be objectively measurable. Target percentages or other quantifiable goals should be stated for all outcomes.
  3. Results Measurement: A description of the methods by which the project results (outcomes) will be measured. Include methodologies by which Expected Outcomes in Section 2 are to be measured, and how they will be measured.
  4. Benefits to Nursing Home Residents: A brief description of the manner in which the project will benefit nursing home residents.
  5. Non-Supplanting: A description of the manner in which the project will not supplant existing responsibilities of the nursing home to meet existing Medicare/Medicaid requirements or other statutory or regulatory requirements.
  6. Consumer and Other Stakeholder Involvement: A brief description of how the nursing home community (including resident and/or family councils and direct care staff) will be involved in the development and implementation of the project.
  7. Funding: The total amount of CMP funds to be used for this project, the number of months of such use, and an estimate of any non-CMP funds that the State or other entity expects to be contributed to the project. Include a budget table that shows breakouts by project year, various cost categories such as Personnel and Training, cost per unit, and subtotals.
  8. Involved Organizations: Names, addresses, phones numbers, and websites for all organizations that will receive funds through this project (to the extent known), and the organizations that are expected to carry out and be responsible for the project.
  9. Contacts: Names, phone numbers, and email addresses for the persons who are the primary contacts for the project.

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.

Approved Projects