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<h4 class="HMIRegistration__sub-title">Email Newsletters</h4>
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News
FEDS STOP GRANTS TO NURSING HOMES FOR ‘COMPREHENSIVE REVIEW’ OF CMP PROGRAM
Kimberly Marselas
@KimMarselas
July 14, 2023
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Credit: Diy13/Getty Images
The Centers for Medicare & Medicaid Services has paused most grants distributed
from its civil monetary penalty reinvestment program, leaving some nursing home
leaders without a much-needed funding source for patient- and staff-centered
programming.
CMS in a statement to McKnight’s Long-Term News this week gave no end date for
potential delays related to “an ongoing comprehensive review” of the CMP
reinvestment program, which began in April.
“During this review, the approval of some applications for CMP reinvestment
funds may be delayed as we work to ensure the integrity of distributions, in
keeping with our goal of improving nursing home resident quality of life and
achieving care innovations,” the agency said through a spokeswoman on Wednesday.
The agency declined to elaborate on the reasons for its review, or what
components of the largely state-driven reinvestment program it was examining.
The fund doles out some of the money collected each year from nursing homes for
non-compliance, allowing selected applications to use grants for resident- and
family-facing programs, specialized joint staff training for QAPI initiatives
and other, limited projects.
While CMS said it continues to approve grants related to COVID interventions
such as air filtration systems, but Medicaid agencies in all states were
notified of the delay for more general grants.
The pause has already led to frustration for providers in some states.
In Pennsylvania, the Department of Human Services had just announced its 2023
CMP grant application window when it sent a May 23 email rescinding the dates,
according to the Pennsylvania Health Care Association.
“To put the impact into context, providers rely on CMP grants and other
supplemental funding sources to help mitigate the chasm between what they are
reimbursed and what it costs to introduce innovative programs, make needed
infrastructure improvements and provide high-quality, necessary care to our
seniors,” said Garry Pezzano, president & CEO of LeadingAge PA. “CMP grants
offer hope to already stretched providers in Pennsylvania facing significantly
heightened rate instability in addition to increased staffing requirements and
workforce shortages exacerbated by high temporary staffing agency rates.”
Carol McKinley is president and CEO of Simpson, which operates three retirement
communities, including a 142-bed, five-star skilled nursing facility, in the
Philadelphia area.
Her small team had applied for $84,000 in CMP funds in 2022 and was asked by
Pennsylvania officials to reapply this February because the original application
had technically expired. Simpson was at that time informed it was one of five
selected grantees under consideration, but after resubmitting, the nonprofit
organization heard nothing further.
CMS never issued a memo on its grant stoppage, instead communicating directly
with states on possible delays. McKinley, a LeadingAge PA board member, learned
about the national delays through the organization.
Now it’s unclear whether her communities will ever get the funding to initiate
Comfort Matters training for staff, which would have provided innovative skills
and weekly coaching for frontline staff serving seniors with cognitive decline
and dementia.
“If we’re not getting that money, then we need to think about, where else will
we go? We’re not-for-profit. We don’t have a ton of resources,” McKinley told
McKnight’s Thursday. “It was disappointing to us because we know this particular
program will make a difference and the dollars would have supported a really,
really good program for our residents and their families and our staff. I mean,
particularly at a time when they’re burned out from COVID. Now, we wanted to
introduce something new and exciting … and we got the breath knocked out of us
because now we won’t be able to do that.”
CMS grants are already limited, with some providers critical of the lengths they
must go to to apply and the frequency of denials in some states. Relatively few
of the nation’s 15,000 nursing homes ever benefit.
In California, where $12.7 million is currently available in CMP grant funds,
just 10 applications were submitted for the 2022-23 fiscal year, with six awards
totaling $6.5 million. Nearly $4 million, however, went to a state LeadingAge
initiative.
The current pause could stifle innovation and the program’s livelihood, McKinley
warned
“I could have spent that time writing a grant for something else,” she said. “I
don’t know if I ever want to waste my time going after CMP money again. It’s so
aggravating that they let us down.”
Even a temporary pause is “most disappointing” for Rick Abrams, president and
CEO of the Wisconsin Health Care Association.
WHCA was working with the state’s survey agency to develop a CMP-funded Customer
Services Best Practice Education and Training program for nursing home
participants. That proposal is now on hold.
And providers will remain in a holding pattern for the foreseeable future. CMS
told McKnight’s only that it will issue updated guidance and information on the
CMP reinvestment program through a quality and safety oversight memo “when the
review is finalized.”
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