Letters of Support
CMS requires that Letters of Support from each participating facility be submitted with the project application. Recruitment of facilities or adding additional facilities to the project are not permitted after the project has been approved.
CMS requires the following information be included in a Letter of Support:
1. The project title as it will be listed on the application
2. The project duration (1, 2 or 3 years)
3. Project implementation timeframe
4. The name of the facility, address, title of the person signing the LOS, phone number, and email address
5. The nursing home's official CMS CCN number
6. The signature of an individual in a leadership position authorized to commit the nursing home
7. An acknowledgement from the nursing home that participation in this project and subsequent use of funding will count against their budget for that funding category.”
8. Statement acknowledging participation for the entire duration of the project and understanding of the review process.
A sample Letter of Commitment is provided for applicant use. Applicants may use their own Letters or may use this template.
Project Participation
North Carolina provides a list of current CMP projects, their project categories, and the participating facilities. You are encouraged to view these lists before reaching out to facilities to avoid solicitating a facility that is unable to participate in your project.
To search, open list and click Ctrl+F. Type the CCN into the search engine to find facility in the list OR you can search numerically. (Note that it is better to search by CCN instead of facility name, as name changes and changes of ownership may occur, but CCN will always remain the same)
Quality of Care Training Projects List
Quality of Life Activity Projects List
It is important to note that nursing homes may be able to participate in more than one CMP-funded project as long as they follow guidelines implemented by CMS.
Resident/Family Council
Facilities are allowed a one-time maximum funding amount of $6,000 per facility
Consumer Information
Facilities are allowed a one-time maximum funding amount of $6,000 per facility
Quality of Care Training
Facilities are allowed a maximum funding amount of $6,000 per facility, per year with a max project period of 3 years.
A facility may participate in more than one QOC-Training project, up to three (3) projects simultaneously, as long as the project topics are different and the total cost of EACH project does not exceed $6,000 per facility, per year.
Quality of Life Activities
Facilities are allowed a maximum funding amount of $6,000 per facility, per year with a max project period of 3 years.
Facilities may participate in more than one QOL activity project as long as the two projects do not fall under the same category. For a list of categories, click HERE.
NC Request for Applications
CMS CMP Application
The CMS CMP application is the template that an applicant needs to follow when developing the CMP application. The applicant will need to ensure that each section is outlined in the application, including a cover letter addressed to CMS.
Once an application is complete, it should be submitted electronically to brandi.jordan@dhhs.nc.gov
North Carolina DHHS/Division of Health Service Regulation offers the Culture Change Enhancement Grant through the North Carolina Culture Change Coalition. The RFA process can be found on the NCDHHS website, as well as the download link provided on this page.
Applications are submitted to North Carolina for review only. CMS is responsible for final approval of projects. North Carolina currently has an open application process. There is no deadline for application submission. Once applications are approved by CMS, the applicant/grantee will enter a contract with NCDHHS.
Please note that the RFA, which was released on July 1, 2025, is currently being updated to align with the QSO-25-26-NH guidance and the new CMS CMP Application. Questions should be directed to brandi.jordan@dhhs.nc.gov