Description:
Civil Money Penalties (CMPs) are fines imposed by the Centers for Medicare and Medicaid Services (CMS) on nursing facilities that do not meet federal health and safety standards. CMS releases a portion of CMP funds to be reinvested in support of projects that improve overall quality of life and care of nursing facility residents. The Michigan Long Term Care Division, a branch of the Michigan Department of Health and Human Services, is responsible for the oversight and administration of the reinvestment program including distributing funds for emergency use in Michigan, state conferences, nursing home staffing, and quality improvement grants.
Emergency Use:
Civil Money Penalty funds can be used in emergency situations including receiverships, natural disasters, and resident relocations resulting from involuntary terminations from Medicare and Medicaid programs. This ensures states maintain appropriate emergency response capacity while demonstrating responsible stewardship of CMP funds and readiness to protect nursing home residents during critical situations
State Conferences:
A state conference is a training where a State Agency (SA) applies for CMP funds to provide statewide or regional training to certified nursing homes. State-sponsored trainings may be offered through in-person trainings, virtual trainings (pre-recorded or live), and webinars.
Nursing Home Staffing Campaign:
The Nursing Home Staffing Campaign is aimed at increasing the number of nurses working in nursing homes and at the state agencies that inspect nursing homes for compliance with health and safety standards, ultimately better improving and protecting residents’ health and safety. To foster meaningful increases in nursing home staff, the campaign will provide financial incentives for nurses like loan repayment and stipends and enhanced training opportunities by streamlining the process for individuals to become Certified Nurse Aides. For more information visit: Nursing Home Staffing Campaign | CMS.
Quality Improvement Grants:
In conjunction with 42 CFR § 488.433(e)(1), MDHHS seeks innovative projects that support, protect, and benefit nursing facility residents. The goal is to enhance the quality of care and quality of life for nursing facility residents through initiatives that focus on enhancement or educational philosophies through current and sound evidence-based practices.
Eligibility Information:
Nursing facilities are encouraged to apply. Other eligible organizations include:
- Hospitals and health care organizations
- Academic institutions
- Nursing facilities
- Nonprofit organizations
- Private businesses
- Native American Tribal organizations
- Any other organization able to plan, implement and evaluate projects, programs, process, systems improvements designed to protect or improve quality of life and care for residents of nursing facilities. Organizations that are not nursing facilities and organizations from states other than Michigan are required to demonstrate partnerships with specific nursing facilities in Michigan for proposed projects by submitting letters of support from nursing facilities that state they have entered a working relationship to participate with the applicant in the proposed project.
Applicants must:
- Be qualified and capable of carrying out the intended project(s) or use(s);
- Not have a conflict-of-interest relationship with the entity(ies) who will benefit from the intended project(s) or use(s);
- Not a recipient of a contract or grant or other payment from Federal or State sources for the same project(s) or use(s);
- Not be paid by a state or federal source to perform the same function as the project(s) or use(s) (e.g., 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(s) or use(s).
Important Dates to Remember:
| Application Open Date |
10/16/2026 |
| Application Close Date | 11/17/2026 |
| Project Director Request Close Date | 11/10/2026 |
| Pre-Application Conference | 10/21/2026 |
| Project Start Date | 04/01/2027 |
How to Apply:
For information on how to apply for this competitive grant opportunity please visit EGrAMS Portal.
For assistance, please contact the EGrAMS helpline at 517-335-3359 or MDHHS-EGrAMS-HELP@michigan.gov.
You may submit questions regarding the Michigan Civil Money Penalty Reinvestment Program to MDHHS-CMPGrants@michigan.gov.
Review Process:
Application will be reviewed by a team of reviewers from various state departments. At the state-level this can take up to a month. If approved, applications will be forwarded to Centers for Medicare & Medicaid (CMS) for additional review. CMS requires 90-120 days to review. Once the review process is completed, applicants can expect to receive a final determination. Determination letters will be sent to the parties listed on the application via email.
Resources:
Contact Information: MDHHS-CMPGrants@michigan.gov.
EGrAMS Webpage: EGrAMS Portal
Centers for Medicaid & Medicare Services, CMP Webpage: Civil Money Penalty Reinvestment Program | CMS
CMPRP General Frequently Asked Questions
State CMP-Funded Projects by Calendar Year
2024
2023
CMPRP Application Resources
CMPRP Application Budget Spreadsheet
CMPRP Application Form
CMPRP Application Handbook
Website Updated 10/16/2026