|Guidelines and Application Information||QAIC Approved
The Division of Quality Assurance's Quality Assurance and Improvement Committee administers allocated civil money penalty (CMP) funds to nursing home stakeholders to develop and implement projects and programs designed to improve the quality of care in Wisconsin nursing homes. This information also shows a limited number of projects approved by the Department of Health Services.
The Centers for Medicare and Medicaid Services (CMS) collects CMP funds from nursing facilities that have not maintained compliance with federal nursing home requirements. CMS then distributes those funds received from Medicaid nursing facilities and from the Medicaid part of dually participating skilled nursing facilities (SNFs) to the states.
Section 1919(h)(2)(A)(ii) of the Social Security Act provides that CMP funds collected by a state, which are the result of certain actions by nursing facilities or individuals, 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 collected CMP funds. The Department of Health Services recommends projects 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, the Department of Health Services revised DHS 132 to include provisions to permit the Department to form a Quality Assurance and Improvement Committee to make recommendations for the disbursement of CMP funds earmarked for improving the quality of care in Wisconsin nursing homes.
The Committee is appointed by the Secretary of the Department of Health Services and represents a cross section of long term care stakeholders.