Ohio Department of Medicaid

Civil Money Penalty (CMP) Reinvestment Application Template

Coronavirus Disease 2019 (COVID-19)

In-Person Visitation Aids Request Instructions

The Centers for Medicare & Medicaid Services (CMS) has issued guidance for Nursing Home Visitation – COVID-19 (Refer to https://www.cms.gov/files/document/qso-20-39-nh.pdf). By following a person-centered approach and adhering to the core principles of COVID-19 infection prevention, visitation can occur safely based on this guidance. Recognizing that considerations allowing for visitation in each phase of re-opening may be difficult for residents and their families, CMS has developed this application template for requests for the use of Civil Money Penalty (CMP) Reinvestment funds to provide nursing homes with in-person visitation aids. Applicants shall submit this CMP Reinvestment Application to the applicable state agency (SA). The SA shall make a determination on the potential of the project to benefit nursing home residents and improve their quality of care and quality of life. The applicant will be notified by the SA about a funding decision, and applicants may contact the applicable SA with questions about their CMP Reinvestment Application. NOTE: This template can only be used for in-person visitation aids for nursing homes. CMS is clarifying that CMPs can be used to purchase any of the following strictly for the purposes of in-person visitation:

  • tents or other shelter for outdoor visitation (purchase and/or rental); and/or
  • clear dividers (e.g., Plexiglas or similar product) to create a physical barrier to reduce the risk of transmission during in-person visits.
Funding is also limited to a maximum of $3,000 per facility which can include installation, installation materials, and shipping costs for allowable items mentioned above. When installing any items for visitation purposes, facilities need to ensure appropriate life safety code requirements found at 42 CFR 483.90 are met, unless waived under the PHE declaration.

Prohibited expenses include but are not limited to:
  • Air Purifiers
  • Fans
  • Ventilation systems
  • Personal Protective Equipment (PPE)
  • Portable fire extinguishers of approved types
  • Disinfectant and Cleaning Supplies (Disinfectant wipes, hand sanitizer, etc.)
  • No-Smoking signage
  • Administrative fees
  • Indirect Cost. For example: federally determined indirect (facilities and administrative-F&A) costs such as staff fringe benefits or facility maintenance.
  • Travel expenses
  • COVID-19 testing and testing equipment

APPLY HERE