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Programs of All-Inclusive Care for the Elderly (PACE) Final Rule Issued by CMS

Posted on Sunday, June 9, 2019 11:53 PM

On May 28, 2019, CMS finalized a rule to update and modernize the PACE program. This rule—the first major proposed update to the Programs of All-Inclusive Care for the Elderly (PACE) since 2006—reflects updates based upon best practices in caring for frail and elderly individuals.

PACE provides comprehensive medical and social services to certain frail, elderly individuals who qualify for nursing home care but can still live safely in the community. Most of the participants served by PACE are dually eligible for both Medicare and Medicaid. More than 45,000 older adults are currently enrolled in more than 100 PACE organizations in 31 states, and enrollment in PACE has increased by over 120 percent since 2011.

The final rule revises and updates the requirements for the PACE program under Medicare and Medicaid, including:

  • Strengthening protections and improving care for PACE participants; and
  • Providing administrative flexibility and regulatory relief for PACE organizations

The changes will provide greater operational flexibility, remove redundancies and outdated information, and codify existing practice.

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