Pennsylvania’s Long Term Care Grant Program
A Civil Money Penalty (CMP) is the monetary penalty the Centers
for Medicare & Medicaid Services (CMS) may impose against Medical
Assistance Nursing Facilities (MA NFs), nursing facilities (NFs) and
dually-certified Skilled Nursing Facilities (SNF)/NFs for either the number of
days or for each instance a facility is not in substantial compliance with one
or more Medicare and/or Medicaid participation requirements for Long-Term Care
The goal of the Pennsylvania Civil Money Penalty Grant Program is
to facilitate the use of federally imposed civil money penalty funds to support
activities that support, protect and benefit residents living in nursing
The objectives are to review and
make recommendations regarding CMP grant applications that are submitted for
the development and implementation of quality improvement initiatives that
directly or indirectly benefit nursing facility residents. These initiatives
should showcase a variety of enhancement or educational philosophies through
current and sound evidence-based practices that promote quality of care and
quality of life for nursing facility residents.
The CMP grant program will accept applications from a licensed MA NF
or a NF Chain.
Successful applicants must have demonstrated experience and
expertise in promoting quality of care and/or quality of life for residents of
nursing facilities, which also meet the requirements under this grant
Direct Improvement to Quality of
CMP funds may be used for projects designed to directly improve
care processes for nursing home residents in a single NF or a NF Chain.
Resident or Family Councils
CMP funds may be used for projects that not-for-profit resident
advocacy organizations assist with that:
the development of new independent family councils;
resident and family councils in effective advocacy on their family members’
materials and training sessions for resident and family councils on state
implementation of new federal or state legislation.
For example, CMP funds could be used to support facilitators,
involvement of knowledgeable experts in council meetings, or other initiatives
to engage residents and families in the development and implementation of
quality improvement programs.
Culture Change / Quality of Life
"Culture change" is the common name given to the
national movement for the transformation of adult and older adult services,
based on person-directed values and practices where the voices of consumers and
those working with them are considered and respected. Core person-directed values are choice,
dignity, respect, self-determination and purposeful living. CMP funds may be used to promote culture
change in projects that involve a single NF or a NF Chain.
CMP funds may be used to develop and disseminate information that
is directly useful to nursing home residents and their families in becoming
knowledgeable about their rights, nursing home care processes, and other
information useful to a resident.
CMP funds may be considered for training in facility improvement
initiatives that are open to a single NF or a NF Chain, including joint
training of facility staff and surveyors, technical assistance for facilities
implementing quality assurance programs, training for resident and/or family
councils, Long Term Care Ombudsman or advocacy organizations, and other
activities approved by CMS.
For example, CMS previously approved the use of CMP funds for a
statewide pressure ulcer and fall prevention collaborative that included joint
training of surveyors and facility staff from multiple nursing homes.
CMP applications shall be
submitted electronically to firstname.lastname@example.org utilizing the PA CMP grant request form. The
form can be downloaded from the Pennsylvania Department of Health (DOH) website
here. Frequently Asked Questions can be found here.
All applications must be date stamped, and received by the CMP
grant committee between March 15, 2018
and April 15, 2018. Applications will not be accepted prior to March 15,
2018, or after April 15, 2018.
At the beginning of each state
fiscal year, the Department of Human Services (DHS) shall determine the total
amount of money to be allocated for the civil money penalty fund to be awarded
in the form of grants to eligible entities.
There is no entitlement to any
funds available for grants awarded through this initiative. DHS may award
grants to the extent funds are available and, within its discretion, to the
extent that applications are approved.
Collaboratively, representatives from Pennsylvania’s Departments
of Health, Human Services and Aging shall assess the merit of each proposed
project and the ability of the project to improve resident outcomes and advance
the care and services provided in certified long-term care facilities.
Following this collaborative review, the selected CMP application/s
will be forwarded to CMS for final approval.
Eligible entities wishing to
apply for CMP grants must meet the following requirements:
available for quality improvement initiatives that are outside the scope of
normal operations for the nursing facility or other applicant. Grants cannot be
used as replacement funding for goods or services that the applicant already
funds are requested for educational purposes, the organization involved must
also include the following: anticipated number of attendees; target audience;
accrediting authorities; timeline for implementation and plan of
sustainability; and letters of support.
previously awarded a CMP grant that failed to achieve that initiative’s
intended goals or outcomes shall be ineligible to apply for a period of 3 years following that grant award.
However, a grant may be considered if the applicant’s inability to complete the
initiative was due to circumstances beyond the applicant’s control.
from any facility requesting funding, or representatives who are in situations
where a conflict of interest exists, must disqualify themselves from making
shall be accepted from dually certified providers (SNF/NF) and MA NFs or Chain NFs.
will not be accepted via fax or hardcopy.
shall include a cover letter addressed to the CMP Grant Committee.
The font for
all applications is Times New Roman, 12 point, and shall include the entity
name and page number on all documents.
shall be limited to no more than 20 pages, including appendices and the actual
CMP application form.
of the application form shall be completed in its entirety with all required
information, or the application will be denied.
the capacity to carry out the initiative for which the grant is requested.
GRANT AWARDS ARE NOT AVAILABLE
FOR THE FOLLOWING
of interest: projects will not be approved for which a conflict of interest
exists or the appearance of a conflict of interest;
operations or administrative salaries;
improvements to a nursing home, or to build a nursing home;
maintenance activities intended to meet the minimum standards for nursing
facilities set forth in 42 CFR Part 483;
e) Goods or
services for which the applicant or others are already obligated to pay;
payments and payroll obligations for a facility’s normal operations or for
fulfillment of state or federal requirements;
of temporary managers who are actively managing a nursing home;
related to travel, bonuses or other direct employee benefits;
that are not specifically outlined in the applicant’s grant proposal or are
already included in the facility’s cost report;
programs, goods or services unrelated to improving the quality of life or
quality of care of NF residents; and
k) Recruitment or providing Long-Term
Care Ombudsman certification training for staff or volunteers, or investigation
and work to resolve complaints.
for Downloading and Submitting the Application:
Review instructions and complete
application from the Department of Health website found here.
Review of Grant Applications
The CMP Grant Committee shall
collaboratively conduct an initial review and evaluate all components of the
completed grant application. Reviewed applications and the state’s recommendation
for approval will be forwarded to CMS.
grant awards are subject to final approval by the CMS regional office.
Grants for approved proposals
shall be awarded through a contract entered into by DHS and the applicant.
Grant funds shall be distributed pursuant to contractual obligations.
Following the date of the award
and continuing until completion, the grantee shall submit quarterly reports on
the status of the project to the CMP
Grant Committee at
will receive additional instructions at the time the grant agreement is signed.
A grantee that fails to submit a
quarterly progress report shall forfeit any future grant award distributions.
A final report of the project
shall be submitted within 30 calendar
days at the conclusion of the project.
The Grant Award Final Report must provide evidence of successful
completion of the project or quality improvement initiative and address the
of the grant;
of residents that benefited from the project or initiative; and
plan for sustainability if the project or initiative will continue beyond the