MEDIOMC26022 Questions & Answers.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- Civil Money Penalty Grant Opportunity
- Solicitation number
- MEDIOMC26022
- Issued by
- Polk County, Iowa
About this file
This is a Questions and Answers document for the Civil Money Penalty Quality Improvement Initiative Grant Program issued by the State of Iowa Department of Health and Human Services, Medicaid Division. The RFP solicits grant proposals to fund quality improvement projects in federally certified nursing facilities using civil money penalties collected from nursing home violations. Eligible project categories include resident and family councils, consumer information development, training to improve quality of care, activities to improve quality of life, mental and behavioral health services, and workforce enhancement initiatives. Written questions were due by April 29, 2026, with proposal responses due by May 29, 2026. Project selection is scheduled for July 22, 2026, with award announcements by September 22, 2026, contract execution by November 2, 2026, and project start dates of January 1, 2027. Contract terms are one year extendable up to two additional one-year periods, for a maximum of three years.
Funding is derived from the Iowa CMP fund balance of $21,298,291.96 as of December 31, 2025. Maximum funding amounts are category-specific, ranging from $6,000 per nursing home for one-time resident and family council or consumer information projects to $18,000 maximum for three-year projects. Most training and quality of life improvement categories are capped at $6,000 per nursing home per year, with multi-year projects accumulating up to $18,000 over three years. The funding cap applies per facility per year, with no maximum limit on the number of nursing facilities that can participate in a single project. Applicants must submit hard copy responses with a flash drive to the issuing officer; email submissions are not accepted. A current list of facilities actively participating in CMP-funded projects and therefore ineligible is maintained and made available to applicants. All awards are subject to final approval by the Centers for Medicare and Medicaid Services, and payment is made quarterly in arrears based on invoices documenting services rendered and compliance with deliverables and performance measures.
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Other files
| File | Type | Posted |
|---|---|---|
| Iowa CMPQII Supplemental Application Forms.docx | DOCX document | |
| CMS Budget Spreadsheet.xlsx | XLSX spreadsheet | |
| Nursing Home Participation List 2026.xlsx | XLSX spreadsheet | |
| CMS Memo QSO-25-26-NH.pdf | ||
| MEDIOMC26022 RFP.docx | DOCX document | |
| CMS Application Form.pdf | ||
| CMPRP Application Handbook.pdf |
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Text version
Sheet1 MEDIOMC26022 Civil Money Penalty Quality Improvement Initiative April 29, 2026
| Question Number | RFP Section Referenced | Page | Questions | Answers |
| 1 | F.3 Application Formatting | 11 | Verification of hard copy response. | The procurement process at this time requires hard copy submission with a flash drive. No email responses are accepted. Submit to the address in Section 2.1 Issuing Officer. |
| 2 | Section C Duration of Contract | |||
| 8 | Are CMP projects limited to one-year or multi-year award terms? | CMP Quality Improvement Initiative contracts may be one year and up to three years. Refer to CMPRP Handbook - Program Overview for additional details. | ||
| 3 | D.3 Nursing Home Letters of Support | 8 | Given the short timeline, does Iowa maintain a current list of facilities actively participating in CMP-funded projects (and therefore ineligible), as facilities may not reliably know their status? | Yes. The current list of facilities has been posted with the Question/Answer responses as a separate document. |
| 4 | Is Iowa accepting State Conference project applications during this cycle? | Iowa is not planning a statewide CMP conference in 2026. | ||
| 5 | B.2 Allowable Uses for Grant Funds and Purpose | 4 | Would a leadership development program for Nursing Facility Administrators and Directors of Nursing, focused on improving workforce stability and resident outcomes, qualify under the Workforce Enhancement category, and are leadership-focused training initiatives allowable if they demonstrate measurable impact on resident care and quality of life? | Training to Improve Quality of Care is an allowable project topic. Training projectz must demonstrate improvement in the quality of care or quality of life for residents of the nursing homes involved with the training. |
| 6 | B.2 Allowable Uses for Grant Funds and Purpose | 4 | For multi-facility projects, is the $6,000 per facility funding cap applied per participating facility within the same project, and is there a maximum number of nursing facilities that can participate? | The funding cap is per facility per year. The applicant determines the number of nursing faciities that can participate, there is no maximum. |
| 7 | B.3 Non-Allowable Uses for Grant funds | 5 | What costs are allowable for training-based projects (e.g., curriculum development, instructor fees, materials, coaching/consulting), and are stipends, backfill costs or participation incentives allowable? | Refer to the RFP section B.3. Incentives are not allowed. |
Refer to the CMPRP Handbook, Section Example of Non-Allwable Uses of CMP Funds/Budget Items and Section IV Budget.
| 8 | D.3 Nursing Home Letters of Support | 8 | At the time of application submission, must letters of support be finalized for all participating nursing homes, and is there any flexibility in their format beyond the required elements listed in the RFP (can an electronic form and electronic signature meet the requirement)? | Letters of support must include the required information. Electronic signatures would be acceptable. The letters of support are submitted with the application and budget to CMS for review. |
| 9 | B2.3 Traning to Improve Quality of Care | 4 | For training-based projects, what level of outcome measurement is expected, and are workforce metrics (e.g., retention, turnover) sufficient, or must projects also demonstrate direct resident outcome improvements? | The applicant determines the measurable outcomes and they must demonstrate the impact to resident quality of care. |
| 10 | 1.3 Scope of Work Deliverables, Performance measures and Monitoring | 15 | How does the Agency evaluate “direct benefit to residents” for leadership or workforce-focused initiatives? | The applicant will describe how their initiative will benefit the resident in their application. The Agency, and ultimately CMS, will review the project description and the respective measurable goals, objectives and outcomes. Refer to the CMPRP Handbook, Section Writing Realisic, Actionable Goals and Quantifiable Objectives. |
| 11 | 1.3 Scope of Work Deliverables, Performance measures and Monitoring | 6 | Are hybrid delivery models (virtual and in-person) and cohort-based, multi-facility training approaches acceptable for CMPQII-funded projects? Are learning platforms or digital tools allowable if used to deliver training and track measurable outcomes? | The applicant will determine the approach. Refer to RFP Section B.4.2 Allowable vs Non-Allowable Technology Uses. |
| 12 | Are applicants permitted to utilize subcontractors or subject matter experts for training delivery, and how should those costs be structured in the budget? | Applicants may use subcontractors. Trainers cannot be an employee of a nursing home that is receiving the training. Refer to the Iowa Supplemental Application for the required subcontractor certification form. Refer to the CMS Budget Template Instructions Tab for details on listing subcontractor services . | ||
| 13 | F.2 Budget Template | 10 | Are budget modifications allowed post submission? | No modifications post submission are allowed. CMS may seek clarification on budget items as part of their review. |
| 14 | B2.3 Traning to Improve Quality of Care | 4 | Are conference-style or in-person training events allowable as part of a larger project if paired with ongoing implementation and outcome measurement activities? | The applicant describes their training approach. Training projects must demonstrate improvement to the resident's quality of care for each nursing home participating in the training event. |
| 15 | B2.3 Training to Improve Quality of Care | 4 | Is there any limitation on the duration or structure of training programs within the allowable project timeframe (e.g., multi-phase or multi-year programs)? | Projects are limited for up to three years. The applicant must describe the approach to the training project and provide an implementaton plan over the timeframe. |
| 16 | Are there specific priority areas or project types the Agency is seeking to fund in this RFP cycle? | The Agency has no priority areas in 2026. The project type and topic is at the descretion of the applicant. | ||
| 17 | Section G Evaluation of the Application | 12 | What distinguishes high-scoring applications in this program, particularly for training or workforce-related initiatives? | Ensuring the applicaton describes how the benefit to the nursing home residents improves their quality of care and life. Clearly describing realistic and actionable goals and objectives using the SMART method. Complies with CMS guidelines outlined in the CMPRP Handbook. |
| 18 | Section B Civil Money Penalty Reinvestment Program (CMPRP) Grant Uses and Funding. | 4 | Can you provide a list of facilities in Iowa that are already committed to active CMP projects, and the allowable category their project is categorized in? | Refer to questions #3. |
| 19 | Section B Civil Money Penalty Reinvestment Program (CMPRP) Grant Uses and Funding. | 4 | How many projects can a facility be participating in at one time? | A facility can participate in up to three projects as long as the topics are different. |
&"-,Bold"Civil Money Penalty Quality Improvement Initiative Grant
MED-23-019
September 2, 2022
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