State Operations Manual (Pub. 100-07), Ch. 10 § 10005.12
Accrual and Duration of Per Day Penalty
10005.12 - Accrual and Duration of Per Day Penalty
(Rev. 221; Issued: 05-10-24; Effective: 05-10-24; Implemetation:05-10-24)
1000
5.13 -
Dura
tion
of
Per Day Penalty when there is IJ
(Rev. 221; Issued: 05-10-24; Effective: 05-10-24; Implemetation:05-10-24)
The per day CMP would begin to accrue on the last day of the survey that identified the
noncompliance and would continue to accrue until the HHA or hospice program achieves
substantial compliance with all requirements or the date of termination, whichever occurs first.
In the case of noncompliance that poses IJ, CMS must terminate the provider agreement within
23 calendar days after the last date of the survey if the IJ is not removed.
Available
Sanction/Remedies
Timeframe for Notice of Imposition
Civil Money
Penalties (CMP)*
Notice of intent to impose – provided with statement of
deficiencies
Notice includes: the amount of the CMP being imposed, the
basis for such imposition and the proposed effective date of
the sanction.
10005.13A - Duration of Penalty when there is no IJ
(Rev. 221; Issued: 05-10-24; Effective: 05-10-24; Implemetation:05-10-24)
In the case of noncompliance that does not pose IJ, the daily accrual of per day CMP is
imposed for the days of noncompliance, i.e., from the day the penalty starts (based on the
survey completion date and this may be prior to the notice), until the HHA or hospice program
achieves substantial compliance based on a revisit or the provider agreement is terminated, but
for a period of no longer than 6 months following the last day of the survey.
If the HHA or hospice program has not achieved substantial compliance with all the
conditions of participation, CMS will terminate the provider agreement. The accrual of civil
money penalty stops on the day the HHA or hospice program agreement is terminated or the
HHA or hospice program achieves substantial compliance, whichever is earlier.