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CIVIL MONEY PENALTY REINVESTMENT PROGRAM SCHEDULE FOR PROJECTS FOR WHICH FUNDING WILL START STATE FISCAL YEAR 2026 (SFY26)

The Civil Money Penalty (CMP) reinvestment funds help improve the quality of life for individuals residing in nursing facilities within the Commonwealth. This bulletin outlines this funding opportunity’s timeline and process for projects applying for CMP reinvestment funding. It also reminds potential applicants of requirements, exclusions, and program contact information.

The CMP reinvestment fund is a collection of monetary penalties the U.S. Centers for Medicare & Medicaid Services (CMS) may impose on skilled nursing facilities (SNFs), nursing facilities (NFs), and dually-certified SNF/NF for either the number of days or for each instance a facility is not in substantial compliance with one or more Medicare and Medicaid participation requirements for Long-Term Care Facilities (LTC) (Code of Federal Regulations (CFR) 42 Part 488.430).  The requirements for participation with Medicare and Medicaid for (LTC) facilities may be found in CFR 42 Part 483.

Any entity may be granted funds for proper use of Centers for Medicare & Medicaid Services (CMS) approved CMP reinvestment projects to protect or improve the quality of life or quality of care for long-term care (LTC) facility residents - provided the 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 reinvestment project or use. CMP reinvestment funds shall not be used to enlarge or enhance an existing appropriation or statutory purpose. If you would like confirmation of your organization’s eligibility to apply for CMP reinvestment funds, please contact the CMP Reinvestment Program (CMPRP) Team at (CMPFunds@dmas.virginia.gov)

In Virginia, CMP reinvestment funds are used in accordance with federal regulations for projects that directly benefit individuals residing in a nursing facility in the Commonwealth. Projects must be reviewed by DMAS and approved by CMS. The goal of the CMPRP is to help protect and improve the quality of care for individuals residing in nursing facilities. DMAS has the responsibility for administering these funds and providing direct oversight in accepting proposals.

CMP-REINVESTMENT PROGRAM PROJECTS

The Virginia General Assembly continues to appropriate CMP reinvestment funds for DMAS and CMS-approved projects that protect or improve the quality of life and care of individuals in nursing facilities. Through an annual proposal submission and review process, DMAS will continue to ensure that CMS guidelines and policies are followed.  Upon review by the Commonwealth that the proposal is complete and compliant, DMAS will forward projects for review and final approval to CMS. If approved by CMS, a contract will be issued and DMAS will oversee project progress by way of reviewing obligatory quarterly and final program and financial reports.

Information concerning awarded projects, including dollar amounts, recipients, project results, and other relevant information, can be found using this link:

https://www.dmas.virginia.gov/for-providers/long-term-care/programs-and-initiatives/civil-monetary-penalty/

APPLICATION PROCESS

Applicants must submit a formal Project Application via Virginia’s electronic procurement system, eVA. Applications must be submitted via eVA to be eligible for consideration. It is strongly encouraged that applicants use the Application Resource Guide and information from the website above when completing a Project Application. 

The anticipated deadline for submitting applications for projects beginning 6/1/2025 will be January 31, 2025.

The full details on the proposal submission and review process, including how to submit proposals and requirements of proposals will be found on eVA, and provided on the DMAS website provided above.

CMP Reinvestment Program SFY25 Timeline

ADDITIONAL INFORMATION

CMS revised the structure of the CMP Reinvestment Program in 2023. Descriptions of the program guidelines and a list of frequently asked questions compiled by the Center for Medicare and Medicaid Services (CMS) can be found on the CMS website at: https://www.cms.gov/medicare/health-safety-standards/quality-safety-oversight-general-information/civil-money-penalty-reinvestment-program.

The Virginia DMAS CMPRP Team can be reached by email at:  CMPFunds@dmas.virginia.gov   or by telephone at (804) 629-7455.

To avoid disruption to claims payment through FFS and the MCOs providers must periodically check the DMAS provider portal, also known as the Provider Services Solution (PRSS), to ensure that the provider's enrollment, contact information, and license information is up to date, for all of the provider's respective service locations. Under federal rules, MCOs and DMAS are prohibited from paying claims to network providers who are not enrolled in PRSS. Additional information is provided on the MCO Provider Network Resources webpage and includes links to resources, tutorials and contact information to reach Gainwell with any provider enrollment or revalidation related questions.  Dental providers should continue to enroll directly through the DMAS Dental Benefits Administrator, DentaQuest.