Civil Money Penalty Funds for NF Projects | Texas Health and Human Services - Texas Health and Human Services |

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Questions about enrolling?
Call the Licensing and Certification Unit at 512-438-2630.

Visit the Texas Unified Licensure Information Portal (TULIP) website
For application forms and instructions.
HHSC is no longer accepting applications for Communicative Technology or Visitation Aides.
Applications may be submitted during the application periods listed below.
January 1 – February 28
July 1 – August 31
Sections 1819 and 1919 of the Social Security Act allow CMP funds to be used for projects and activities that benefit residents, including 
CMP funds may not be used for uses prohibited by law, regulation, or CMS policy. These include but are not limited to:  
States must obtain approval from CMS before using federally imposed CMP funds to pay for projects. Twice a year, HHSC evaluates proposals to use CMP funds by using criteria developed by CMS and published in CMS S&C 12-13-NH (PDF). A decision by HHSC not to forward a proposal to CMS is not subject to appeal.
CMP is a cost reimbursement program, HHSC does not disburse CMP funds prior to contract execution. Any purchases made prior to contract execution are not allowed and will not be reimbursed. Organizations must submit invoices and receipts for completed projects to be reimbursed for expenses incurred pertaining to the project. Reimbursement will be made approximately 30 days after processing the invoice. 
For additional information, please visit the CMS Civil Money Penalty Reinvestment Program website.
If you have any questions, email CMP Application.
Failure to submit all completed forms is considered an incomplete packet and will be denied. 
Submit completed application packets to: CMP Application mailbox.
Incomplete application packets will not be accepted.
Include a detailed budget sheet with explanations for each cost. If the proposal includes purchasing items such as machinery or furniture, include a specification sheet showing details of the item and bids. Cost estimates from vendors are very helpful.
You must also submit the Budget in MS Excel formatHHSC Supplement to the Application for CMP Funds (PDF), Form 4732 Nongovernmental Contractor Certification and Form AP-152 Application for Texas Identification Number with your application response.
Each application received during the submission period is reviewed for completeness. An application must be complete to be considered. Each application submitted will receive a “receipt by” date and all complete applications will receive a “complete” date. Projects are funded based on the receipt date and are subject to available funding, HHSC review and CMS approvals.
Depending upon the complexity of your proposal or the quality of your application, HHSC may request additional information. After the close of the application period, the HHSC-designated CMP panel will determine whether to forward your proposal to the HHSC commissioner for approval. The CMP panel evaluates proposals by applying the CMS criteria set forth in S&C 12-13-NH and 42 CFR 488.433. Applications approved by the HHSC commissioner will be forwarded to CMS for approval.
If your proposal is forwarded to CMS, CMS may request additional information. If CMS approves your proposal, HHSC will develop a CMP agreement that describes the terms, conditions, deliverables and time frames required for disbursement of CMP funds. Please be aware that HHSC does not disburse CMP funds before invoices and receipts are received.
If you receive a denial from HHSC you may re-submit your project proposal during the next application period. However, if your project proposal is denied by CMS it may not be submitted for reconsideration.
Yes. Any conferences, with or without travel, necessary to accomplish the purpose of the grant must have prior CMS approval. These requests must be priced separately in the budget and include the following information:
If the cost estimate includes travel, HHSC will reimburse using State of Texas travel rates.
No. If the project will be the same at each location, the organization should submit one application and attach a list of all the locations included in the budget plan. One application is also acceptable if the projects will vary only slightly in detail from location to location.
If there is a significant variance in the project, the organization would need to submit separate applications for each location that has the significant variance.
Yes. If your project involves any type of construction (e.g., building a greenhouse, courtyard, awning, installing a kitchenette) you need to provide a plan and specifications to HHSC Life Safety Code staff for review before submitting your application. You must then provide their response with your application. Please also ensure that your application is specific and states how you will follow through with HHSC LSC staff if your proposal is approved by CMS.
Yes. You will be required to complete a Data Use Agreement (PDF) as prescribed by the Texas Health and Human Services Commission.
An entity or facility should not incur any cost obligations for the CMP project until the HHSC commissioner or designee has signed the CMP agreement. Reimbursement will not be made until the CMP agreement has been fully executed.
Disclaimer: This guidance is not legal advice from HHSC, and applicants should consult their legal counsel as they deem appropriate.
No. All applications must be submitted via email before 11:59 p.m. of the deadline date. There are no exceptions.
HHSC may distribute funds to any entity provided that the funds are used for CMS-approved projects to protect or improve services for residents of Medicare- or Medicaid-certified nursing facilities and provided that the responsible receiving entity is:
CMP funds may not be used to enlarge or enhance an existing appropriation or statutory purpose that is substantially the same as the intended project or use.
A facility that has pending CMPs may apply for CMP funds. The facility’s application may be suspended until HHSC receives the final disposition of the pending CMP.
No. The application for the organization will not be suspended. If the application is approved by the HHSC commissioner or designee and CMS, the applicant will be provided a letter stating that the funds may be used for all facilities except the facility with the pending CMP until HHSC receives the final disposition of the CMP.
A revised application, Form 4732 and Form AP-152 will need to be submitted. This information will be forwarded to CMS for review and approval. All invoices will need to reflect the correct name and Tax Identification Number (TIN). Any changes to the application or supplemental documents may cause a delay in the review and approval process.
No. Applications cannot include CMP funding for nurse aide training and related expenses. Per 42CFR §433.15 and §483.158, Medicaid pays for Nurse Aide Training and Competency Program (NATCEP) with a 50/50 federal/state match.
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