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Emergency Fund Payment Program Overview
The Emergency Fund Payment Program (EFPP) is a part of the Civil Money Penalty (CMP) Program and is intended to provide emergency financial assistance as defined below:
- Provide financial assistance to Medicaid/dually-certified nursing facilities in the event of facility closure (voluntary/involuntary) to ensure for adequate care, safety, and discharge/relocation of residents
- Loss of resident property in the event of a qualifying disaster
A qualifying disaster is defined as any of the following events:
- Flood
- Fire/explosion
- Tornado
- Other storm damage (i.e. wind, hail, lightning)
In addition to meeting disaster criteria, EFPP payments for resident property are only available when:
- Nursing facility/other applicable insurance policy(ies) does not cover the resident property loss; or
- Nursing facility's or other applicable insurance policy(ies) does not cover the entirety of the resident property lost
How to apply
The following items are required to be submitted for review:
- EFPP request for assistance with concise explanation of the reason(s) for the financial assistance request (must include one of the reasons cited above);
- Nursing facility/other applicable insurance policy documentation that shows denial of coverage and/or underinsured coverage for qualifying disaster defined above;
EFPP financial assistance requests and documents may be sent via email to any of the following for review:
DHHS must maintain a reserve CMP fund in the event of a qualifying emergency. DHHS cannot guarantee payment in all qualifying cases.