MA-2275 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)

MA-2275 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)

  1. BACKGROUND
  2. INTRODUCTION
  3. PACE AND MEDICAID REFERRAL PROCEDURES
  4. ELIGIBILITY DOCUMENTATION FOR PACE
  5. POLICY PRINCIPLES
  6. PACE BUDGETING
  7. ALLOWABLE DEDUCTIONS
  8. MEDICAID AUTHORIZATION FOR PACE SERVICES
  9. MEDICAID CERTIFICATION AND AUTHORIZATION FOR PACE
  10. REDETERMINATION OF ELIGIBILITY/REVIEW
  11. CHANGE IN SITUATION
  12. ELIGIBILITY INFORMATION SYSTEM (EIS)
  13. XPTR REPORT
  14. AUTOMATED AND MANUAL NOTICES FOR PACE SERVICES
  15. PACE APPLICATION REPORT
  16. PACE SERVICES - INTERNAL APPEAL PROCESS
  17. MEDICAID APPEAL PROCESS