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Civil Money Penalty (CMP) Reinvestment Program
Overview
The Civil Money Penalty (CMP) Reinvestment program was created as an effort to drive improvements in the quality of life and care for nursing home residents by equipping nursing home staff, administrators, and stakeholders with technical tools and assistance.
A CMP is a monetary penalty that the Centers for Medicaid and Medicaid Services (CMS) may impose against Nursing Facilities when found not in substantial compliance with one or more Medicare and Medicaid participation requirements form long-term care facilities. A portion of the fines collected are deposited to the Nursing Home Residents’ Trust Fund. Federal regulations require these dollars to be reinvested into projects that measurably improve resident quality of care or quality of life.
Allowable Uses of CMP Funds
CMS has an established a list of approvable CMP Project categories each with funding limits to ensure costs remain reasonable. Click on each project category below for more information.
Resident or Family Councils
Purpose: Strengthen resident/family advocacy councils
Eligible Activities: Develop councils, advocacy support, training materials
Funding: $6,000 per nursing home (one-time)
Consumer Information
Purpose: Create educational materials for residents/families
Eligible Activities: Flyers, brochures, web content, psychotropic awareness, discharge rights, advance care planning
Funding: $6,000 per nursing home (one-time)
Key Point: Materials must directly benefit residents/families
Training to Improve Quality of Care
Purpose: Provide training to improve care quality and safety
Eligible Activities:
- Medical Care: Alzheimer's disease, wpund care, pain management, medication management, oral health
- Safety: Falls, non-pharmaceutical interventions
- Care Approach: Trauma-informed, person-centered, cultural sensitivity
Funding: $6,000 per nursing home, per topic, per year (max of $18,000 per year)
Key Point: Multiple topics allowed, open to multiple nursing facilities, state conferences available
Activities to Improve Quality of Life
Purpose: Enhance social engagement, promote movement and reduce loneliness
Eligible Activities:
- Nature Based: Horticulture/gardening
- Therapeutic: Music therapy, animal therapy (including robotic animals)
- Physical: Tai Chi, movement games, Wii
- Cognitive: Reading/memory interventions, crafting
Funding: $6,000 per nursing home, per topic, per year
Key Point: Must directly benefit nursing home residents, high-cost/complex tec (VR, AI, simulation) not allowed
Mental and Behavioral Health
Purpose: Support behavioral health needs of residents
Eligible Activities:
- Serious mental illness, substance use disorder, dementia
- Staff training on behavioral symptoms
- Person‑centered dementia care
- Mental health first aid
Funding: $6,000 per nursing home, per year
Key Point: Must deliver innovative, high‑quality behavioral health services
Workforce Enhancement
Purpose: Strengthen and retain a qualified workforce
Eligible Activities: CNA training, retention programs, leadership development, mentorship
Funding: $6,000 per nursing home, per year
Key Point: Must differ from Nursing Home Staffing Campaign
Technology Projects
Purpose: Improve resident quality of care and quality of life involving each of the following elements:
- Direct Resident Interaction: Residents must actively use or engage with the technology.
- Measurrable Outcomes: Projects must show documented improvements in resident quality of care or quality of life; CMS may approve multi‑year projects incrementally based on results.
- Functionality Focus: Only essential technology components are allowable—no unnecessary or non‑impactful features.
Funding: $6,000 per nursing home, per year
Key Point: Refer to CMPRP Application Handbook “Technology Projects: Allowable vs. Non-Allowable Uses”
How to Apply
1. Download and Complete the following:
2. Email both forms to: [email protected]
The Project Coordinator will conduct an initial review of your application. Required follow‑up meetings will be scheduled as needed to move forward with the internal approval process.
Virtual educational sessions are available to provide an overview of the Louisiana CMP Reinvestment process.
For further details, please refer to the section below titled "NF Resources and Training".
Approval Process
Project applications are subject to a series of steps before approval and implementation. Additional information may be requested from the applicant during each step of the approval process. Click on each step below for more information.
The Louisiana Department of Health (LDH) Leadership Team will conduct a collaborative review of project proposals. Each proposal will be evaluated based on its alignment with LDH priorities and the budgetary constraints in effect at the time of submission. Please note that the review process may require up to 90 days to complete.
Nursing Facility Notice of Opportunity
Following leadership approval, applicants host virtual project introductory sessions to onboard eligible Nursing Facilities (NFs) only eligible Nursing Facilities are invited to attend. Sessions cover project goals, timelines, responsibilities, and participation agreements.
Applicants must submit a complete application packet to the State for preliminary review. Once a completed packet is verified, LDH submits the packet to CMS. CMS will review applications for completeness and reasonableness, as well as to ensure program guidelines are met.
- If deficiencies or missing information is identified on the application, applicants should refer to the CMP Application FAQs or the CMP Application Guide.
- If a CMP project is approved by CMS, the applicant will then proceed with the state procurement process.
CMPRP Application Handbook
To ensure compliance with CMS objectives and maximize resident benefits, applicants are advised to review the CMPRP Application Handbook. This resource outlines CMS‑CMP Reinvestment project guidelines and includes an extensive list of allowable and non‑allowable CMP fund uses.
For more info, contact Eryn Dopson, CMP Reinvestment Project Coordinator at [email protected] or at (225) 432-0099.