The federal Centers for Medicare and Medicaid Services (CMS) collects Civil Money Penalties (CMP) from nursing facilities that have not maintained compliance with federal nursing home requirements. CMS then distributes those funds received from Medicaid certified nursing facilities and from the Medicaid certified part of dually participating skilled nursing facilities to the states. The Social Security Act provides that CMP funds collected must be applied to the protection of the health or property of residents of nursing facilities that the state or the Secretary finds deficient.
The Patient Protection and Affordable Care Act provides CMS the authority to approve the specific use of federally imposed CMP funds. The Wisconsin Department of Health Services (DHS) recommends projects for funding to CMS that are designed to protect the property, health, safety, and welfare of facility residents and that improve the efficiency and cost effectiveness of facility operations so as to improve the quality of life, care, and treatment of its residents.
In August 2007, DHS revised Wis. Admin. Code § DHS 132 to include provisions to permit the Department to form a Quality Assurance and Improvement Committee (QAIC) to make recommendations for the disbursement of CMP funds earmarked for improving the quality of care in Wisconsin nursing homes. The QAIC meets regularly to review proposals and to make recommendations for submittal of proposals to DHS and CMS for funding. Members of the QAIC are appointed by the Secretary of DHS and represents a cross section of long term care stakeholders.
Project Proposal application form and guidance for submitting a project proposal for grant monies from Civil Money Penalty (CMP) funds. Also find eligibility standards, project criteria and suggested proposal categories.
The Division of Quality Assurance (DQA) is responsible for overseeing both the Quality Assurance and Improvement Committee approved projects and the Department of Health Services approved projects. Information available on nursing home grant projects includes a brief description of each project, amount awarded, project status, and final reports for completed projects.
Funds awarded through the Nursing Home Grant Program have supported the development of training videos, program manuals and additional educational material to increase staff knowledge and improve the quality of life for elders. These resources are available for use in all facilities.