b.) Program of All-Inclusive Care for the Elderly (PACE)88
PACE (Program of All-Inclusive Care for the Elderly) is an alternative to institutional care for persons age 55 and older who require a nursing facility level of care. Determinations of eligibility for PACE must be made and annually re-evaluated89 on the basis of health status and indicators such as medical diagnosis and measures of activities of daily living.90 Under a PACE agreement, a provider must:91
- Collect data;
- Provide access to the Secretary and the states to the records relating to the program; and
- Submit reports on the operation, cost and effectiveness of the program.
Footnotes
- 88. Social Security Act § 1934, 42 U.S.C. 1396u-4 (available at http://www.ssa.gov/OP_Home/ssact/title19/1934.htm).
- 89. Social Security Act § 1934(c)(3)(B), 42 U.S.C. 1396u-4(c)(3)(B)(Re-evaluation unnecessary if the state determines that there is no reasonable expectation of improvement or significant change in an individual’s condition during this time because of the severity of chronic condition, or degree of impairment of functional capacity of the individual involved).
- 90. Social Security Act § 1934(c), 42 U.S.C. 1396u-4(c).
- 91. Social Security Act § 1934(e)(3)(A)(i), 42 U.S.C. 1396u-4(e)(3)(A)(i).
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