CMS Offers Networking, Technical Assistance, Funding as Part of CMP Reinvestment Project (11/18)

By CMS - November 26, 2018

Breakthrough Communities and Technical Assistance

 A Breakthrough Community is a voluntary and customized health care improvement program that is based on a model designed by the Institute for Healthcare Improvement (IHI). Its goal is to achieve “breakthrough” improvement in nursing homes that may be experiencing challenges in one of two program areas: reducing adverse events and/or improving dementia care.

In Breakthrough Communities, nursing homes work with their peers to test interventions that will lead to improvement in quality of life and quality of care for residents of nursing homes.

If you are interested and want to apply, please email

Technical Assistance To improve dementia care, CMS funds and provides one-to-one Technical Assistance (TA) to a selection of nursing homes through the CMPRP. One-to-one TA will be customized to your nursing home to address unique barriers in improving quality of life and quality of care for residents with dementia.

The purpose of one-to-one TA is to provide education and support to nursing homes’ quality improvement processes, including root cause analysis and the development of a performance improvement plan framework for the improvement of dementia care and ensuring the appropriate use of antipsychotic medications.

If you are interested and want to apply, please email

Civil Money Penalty (CMP) Funds

About Civil Money Penalty (CMP) Funds

A CMP is a monetary penalty the Centers for Medicare & Medicaid Services (CMS) may impose against nursing homes for either the number of days or for each instance a nursing home is not in substantial compliance with one or more Medicare and Medicaid participation requirements for long-term care facilities.

A portion of CMPs collected from nursing homes are returned to the states in which CMPs are imposed. State CMP funds may be reinvested to support activities that benefit nursing home residents and that protect or improve their quality of care or quality of life.

What CMP Funds Can Be Used For

CMP funds may be used for (but not limited to) the following:

·        Assistance to support and protect residents of a facility that closes or is decertified

·        Time-limited expenses incurred in the process of relocating residents to home and community-based settings or another facility when a facility is closed or downsized pursuant to an agreement with the state Medicaid agency

·        Projects that support resident and family councils and other consumer involvement in assuring quality care in facilities

Facility improvement initiatives, such as joint training of facility staff and surveyors, or technical assistance for facilities implementing quality assurance and performance improvement programs

How to Apply for CMP Funds

The application process for CMP funds is determined by the state in which the nursing home is located. The process for each state may differ therefore states have their own applications for CMP funds and applicants should use their state specific application and instructions.