United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2019_register executive 2019-06-01 article Part II Rules and Regulations D09002ee1c7d290bd D09002ee1c7d2a1bc United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule updates the requirements for the Programs of All-Inclusive Care for the Elderly (PACE) under the Medicare and Medicaid programs. The rule addresses application and waiver procedures, sanctions, enforcement actions and termination, administrative requirements, PACE services, participant rights, quality assessment and performance improvement, participant enrollment and disenrollment, payment, federal and state monitoring, data collection, record maintenance, and reporting. The changes will provide greater operational flexibility, remove redundancies and outdated information, and codify existing practice. 84 FR 25610 https://www.govinfo.gov/app/details/FR-2019-06-03/2019-11087 2019-11087 fr03jn19-3 RIN 0938-AR60 4120-01-P CMS-4168-F https://www.govinfo.gov/app/details/FR-2019-06-03/2019-11087 https://www.govinfo.gov/content/pkg/FR-2019-06-03/html/2019-11087.htm https://www.govinfo.gov/content/pkg/FR-2019-06-03/pdf/2019-11087.pdf Administrative Practice and Procedure Emergency Medical Services Health Facilities Health Maintenance Organizations (Hmo) Medicare Penalties Privacy Reporting and Recordkeeping Requirements Aged Health Care Health Records Medicaid 68 p. 25610 25677 84 FR 25610 Title 42 Part 423 42 CFR Part 423 Title 42 Part 460 42 CFR Part 460 RIN 0938-AR60 Medicare and Medicaid Programs; Programs of All-Inclusive Care for the Elderly (PACE); Federal Register Vol. 84, Issue RULE 2019-11087 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2019-08-02 CMS-4168-F 4120-01-P 2019-11087 Final rule.

This final rule updates the requirements for the Programs of All-Inclusive Care for the Elderly (PACE) under the Medicare and Medicaid programs. The rule addresses application and waiver procedures, sanctions, enforcement actions and termination, administrative requirements, PACE services, participant rights, quality assessment and performance improvement, participant enrollment and disenrollment, payment, federal and state monitoring, data collection, record maintenance, and reporting. The changes will provide greater operational flexibility, remove redundancies and outdated information, and codify existing practice.

Effective Date: These regulations are effective on August 2, 2019. Brandy Alston, 410-786-1218. Administrative Practice and Procedure Emergency Medical Services Health Facilities Health Maintenance Organizations (Hmo) Medicare Penalties Privacy Reporting and Recordkeeping Requirements Aged Health Care Health Records Medicaid Medicare and Medicaid Programs: Programs of All-Inclusive Care for the Elderly , OIRA_submission@omb.eop.gov Paperwork@cms.hhs.gov http://cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/pace111c08.pdf http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Internet-Only-Manuals-IOMs-Items/CMS019036.html http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Reports/Downloads/Beauchamp_2008.pdf http://www.medpac.gov/docs/default-source/reports/june-2016-report-to-the-congress-medicare-and-the-health-care-delivery-system.pdf https://innovation.cms.gov/Files/reports/pace-access-qualityreport.pdf https://innovation.cms.gov/Files/reports/RTC_For-Profit_PACE_Report_to_Congress_051915_Clean.pdf https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/PACE/PACE-Innovation-Act.html https://www.cms.gov/Medicare/Compliance-and-Audits/Part-C-and-Part-D-Compliance-and-Audits/PACE_Audits.html https://www.cms.gov/Medicare/Health-Plans/pace/downloads/programagreement.pdf https://www.cms.gov/Medicare/Health-Plans/PACE/Overview.html https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovContra/RxContracting_ApplicationGuidance.html https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/pace111c03.pdf https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/internet-Only-Manuals-IOMs-Items/CMS019036.html https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html https://www.federalregister.gov/documents/2014/01/16/2014-00487/medicaid-program-state-plan-home-and-community-based-services-5-year-period-for-waivers-provider https://www.gpo.gov/fdsys/pkg/FR-1999-11-24/pdf/99-29706.pdf https://www.medicaid.gov/medicaid/ltss/downloads/integrating-care/pace-medicaid-capitation-rate-setting-guide.pdf https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/M-17-21-OMB.pdf www.bls.gov/oes/current/oes_nat.htm Vol. 84, no. 106 Office of the Federal Register, National Archives and Records Administration 2019-06-03 continuing daily deposited born digital 194 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2019-06-03 P0b002ee1a140e55f 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr03jn19 https://www.govinfo.gov/app/details/FR-2019-06-03 https://www.govinfo.gov/content/pkg/FR-2019-06-03/pdf/FR-2019-06-03.pdf https://www.govinfo.gov/content/pkg/FR-2019-06-03/xml/FR-2019-06-03.xml fdlp 25493 25677 DGPO 2019-06-01 2024-05-31 FR-2019-06-03 machine generated eng FR FR-2019-06-03 84 106