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Nursing Home Civil Money Penalty (CMP) Project Center

The Indiana Department of Health (IDOH) Nursing Home Civil Money Penalty (CMP) Project Center is intended to provide information about the Civil Money Penalty (CMP) Fund and provide links to CMP funded projects.

The CMP Fund was created in 1996 by the Centers for Medicare and Medicaid Services (CMS) as a means of supporting healthcare quality improvements in long term care. Indiana’s Civil Money Penalty (CMP) Fund is authorized under Indiana Code (IC) 16-28-12 (1993) and is a dedicated fund administered by the Indiana Department of Health. The CMP Fund contributes to the IDOH’s mission of improving healthcare quality for Hoosiers.

In its role as the State Survey Agency for the Centers for Medicare and Medicaid Services (CMS), the IDOH conducts periodic federal certification surveys of nursing homes. Nursing homes not in compliance with federal regulations may be assessed a civil money penalty by CMS. A portion of the penalty is returned to the State to promote improved health and safety of nursing home residents in certified facilities.

Current Grant Opportunities

IDOH accepts applications for CMP funds on the following schedule:  March 1 - April 30, July 1 - August 31, and November 1 - December 31, every year. The CMP application and budget templates must be used. Please see Resources below for allowable uses of CMP funds, non-allowable uses and other guidance from CMS.

IDOH will respond to the applications within 30 days.

Application for the use of CMP Funds

CMP Budget Template



Indiana Department of Health
Program Performance & Development
2 North Meridian Street, 4 Selig
Indianapolis, IN 46204
Director of Program Performance & Development
Suzanne Williams
(317) 233-1325 [IDOH Main Switchboard] (317) 233-7651
(317) 233-7621  [Administrative Assistant]

CMP Funded Projects

Healthcare Leadership Conference

CMS Quality, Safety, and Oversight Letters

CMS periodically issues Quality, Safety, and Oversight (QSO) letters (formerly "Survey and Certification" (SC) letters) that are intended to provide guidance on federal regulations and policies. The Quality, Safety, and Oversight letters are available on the CMS web site.

Below are links to CMS Survey and Certification Letters related to the CMP Fund.

  • QSO-23-23-NHs:  Civil Money Penalty Reinvestment Program (CMPRP) Revisions – Sept. 25, 2023
  • SC 14-30-NH: Grant Solicitation for the Reinvestment of Federal Civil Money Penalty (CMP) Funds to Benefit Nursing Home Residents – May 16, 2014
  • SC 13-57-NH: Escrow and Independent Informal Dispute Resolution (Independent IDR) Process for Nursing Homes – Applicable to All Civil Money Penalties (CMPs) – August 30, 2013
  • SC 12-13-NH: Use of Federally Imposed Civil Money Penalty (CMP) funds by States – December 16, 2011 [Update Supersedes SC 11-42-NH; SC 09-44; SC 02-42]
  • SC 11-42-NH: Use of Civil Money Penalty (CP) Funds by States – September 30, 2011 [Superseded by SC 12-13-NH]
  • SC 11-16-NH: Publication of Final Rule “Civil Money Penalties for Nursing Homes Centers for Medicare & Medicaid Services (CMS) – 2435-F” – March 18, 2011
  • SC 11-12-NH: Relationship Between Civil Money Penalty Funds Paid by Nursing Homes and the Money Follows the Person Demonstration - March 11, 2011
  • SC 09-44: Use of Civil Money Penalty (CMP) Funds by States and Reporting of CMP Funds Returned to the State – June 19, 2009 [Superseded by SC 12-13-NH]
  • SC 02-42: Use of Civil Money Penalty (CMP) funds by States – August 8, 2002 [Superseded by SC 12-13-NH]
  • QSOG Admin 18-15-NH: Civil Money Penalty (CMP) Reinvestment State Plans

Rules and Regulations