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Medicare (Title XVIII of the Social Security Act)
Program of All-Inclusive Care for the Elderly (PACE)


Program of All-Inclusive Care for the Elderly (PACE) [1]

 

The Secretary or state administering agency will utilize information on an individual’s health status and other related indicators, such as medical diagnoses, to determine whether the individual is PACE eligible.1  This determination will be reevaluated annually.2

 

PACE providers will collect data,3 maintain and afford access to program records, including pertinent medical records, to the Secretary and the state administering agency,4 and make reports necessary for monitoring the operation and effectiveness of the PACE program available to the Secretary and the state administering agency.5

 

If a PACE enrollee ends his enrollment, the program must help the individual obtain necessary transitional care by providing appropriate referrals and making the individual’s medical records available to new providers.6  Each PACE provider must have a written plan of quality assurance.7

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Footnotes

  • 1. a. b. Social Security Act § 1894(c)(2), 42 U.S.C. 1395eee(c)(2).
  • 2. Social Security Act § 1894(c)(3)(A), 42 U.S.C. 1395eee(c)(3)(A).
  • 3. Social Security Act § 1894(e)(3)(A)(i)(I), 42 U.S.C. 1395eee(e)(3)(A)(i)(I).
  • 4. Social Security Act § 1894(e)(3)(A)(i)(II), 42 U.S.C. 1395eee(e)(3)(A)(i)(II).
  • 5. Social Security Act § 1894(e)(3)(A)(i)(III), 42 U.S.C. 1395eee(e)(3)(A)(i)(III).
  • 6. Social Security Act § 1894(a)(2)(C), 42 U.S.C. 1395eee(a)(2)(C).
  • 7. Social Security Act § 1894(b)(2)(A), 42 U.S.C. 1395eee(b)(2)(A).