Initial applicants and existing PACE organizations seeking to expand a geographic service area and/or open a new PACE center must submit their applications electronically through CMS’ Health Plan Management System (HPMS).  The initial and Service Area Expansion (SAE) applications are largely attestation-based accompanied by a series of uploaded documents as specified in the application. 

Critical deadlines for applications submitted in 2017 are included in the Jan. 17, 2017 guidance listed below. 

Refer to the following resources for a complete explanation of the initial and SAE application process and requirements:

  • PACE Organization Initial Application (link is external): This is a requirement for new PACE organizations.
  • PACE Part D Application (link is external): The Medicare Part D application is required for new PACE organizations. CMS requires this application be submitted with the PACE organization initial application.
  • PACE Organization SAE Application (link is external): The Service Area Expansion (SAE) application is required for existing PACE organizations seeking to expand their geographic service area, add a new PACE center (with the exception of adding a new PACE center that will replace an existing PACE center, for which there is separate guidance), or both.
  • CMS 2017 PACE Application Guidance (1/17/2017): This CMS memo announces instructions for submitting initial and SAE applications in 2017. The 2017 deadlines related to submitting both the initial and SAE applications are included in the memo. For initial applicants, the application timeline includes submission of a Notice of Intent to Apply (NOIA) and a request for access to CMS’ Health Plan Management System (HPMS) which is needed to submit the application electronically through HPMS.
  • CMS PACE Application Industry Training, Feb. 13, 2017: This CMS PowerPoint presentation provides information on the automated PACE application processes for both initial and service area expansion (SAE) applications.  For new PACE organizations, the presentation includes information on submitting a Notice of Intent to Apply, accessing HPMS, the state PACE application process, PACE Provider and Part D applications, and 2017 application timeframes and deadlines.  For PACE organizations seeking to expand their geographic service areas and/or add new PACE centers, the presentation provides an overview of the SAE application.
  • HPMS ePACE Automated Application Training, Jan. 24, 2017 (Presentation given Feb 13, 2017): This CMS PowerPoint presentation addresses how to submit the PACE provider and Part D applications via HPMS.
  • State Readiness Review Tool (link is external): This tool describes the readiness requirements for a new PACE organization that must be met prior to final approval of its provider application, signing of the three-way (Medicare, Medicaid and PACE organization) program agreement, and initiation of services. The state conducts the readiness review as part of the initial application process, as well as part of the SAE application process for existing PACE organizations opening new PACE centers.

Please note that the information provided here is specific to CMS' application process.  The state application process for PACE varies by state.  Applicants should work closely with their state to ensure state application requirements for PACE are followed.  Applicants must be prepared to include a State Assurance with the application as required by CMS. 

For questions or more information please contact Chris van Reenen.

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