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Frequently Asked Questions


Below, you will find a selection of frequently asked questions compiled by the Center for Medicare and Medicaid Services (CMS). The full list of questions may be found here: 

CMP means civil monetary penalty. It is a financial penalty the U.S. Centers for Medicare & Medicaid Services (CMS) may impose against 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 LTC Facilities (42 CFR 488.430). The requirements for participation with Medicare and Medicaid for (LTC) facilities may be found at 42 CFR 483.

A: CMP funds may not be used for uses prohibited by law, regulation, or CMS policy. These include and are not limited to:

  • Projects disapproved by CMS.
  • Survey and certification operations or State expenses.
  • Capital expenses of a facility.
  • Nursing facility services or supplies that are the responsibility of nursing facilities, such as laundry, linen, food, heat, staffing costs, etc.
  • Funding projects, items or services that are not directly related to improving the quality of life and care of individuals who are residents of nursing facilities
  • Projects for which a conflict of interest or the appearance of a conflict of interest exists
  • Long term projects (greater than 3 years)
  • Temporary manager salaries
  • Supplementary funding of federally required services (e.g., Quality Improvement Organization-Quality Improvement Network Initiatives)

Projects cannot exceed three years, but there is no minimum requirement for project length.

CMP Program Analyst Team

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