Federal Regulatory Policy
NPA works proactively with CMS and Congress on issues affecting PACE organizations. Because PACE is an innovative program that works with both Medicare and Medicaid, its model of care has its own regulations that govern PACE organization operations.
The National PACE Association (NPA) works proactively with staff at the Centers for Medicare & Medicaid Services (CMS) and members of Congress who work on policy issues affecting PACE® organizations. Because PACE organizations are innovative programs that work with both the Medicare and Medicaid programs, the PACE Model of Care has its own regulations that govern PACE organization operations.
NPA Webinar on the PACE Final Rule
NPA hosted a webinar on the PACE final rule on June 11. You can access the slides from the webinar and view the recording. (Please note: We made a minor correction to slide 22 after the webinar. The correction is included in the slide deck.)
CMS Releases PACE Final Rule
NPA is pleased to announce that CMS has released the PACE final rule, which was published in the Federal Register on June 3, 2019, with an effective date of Aug. 2, 2019.
The released final rule is the first comprehensive update of the PACE regulation since the original final rule was published in 2006. NPA staff has reviewed the final rule and is providing its members with both a high-level summary and a more detailed section-by-section description of changes to PACE regulatory requirements resulting from the final rule. The latter is intended to assist PACE organizations and other NPA members in understanding the specific changes to PACE requirements that will take effect on Aug. 2, 2019.
Appendix A of the more detailed document is a “red-lined” version of the current PACE rule showing all the revisions, additions and deletions that have been made to the current regulatory requirements. These changes will take effect on Aug. 2, 2019.
For more information, contact Chris van Reenen, vice president of Regulatory Affairs.
Proposed Rule for PACE
CMS released the proposed rule for PACE (CMS-4168-P) in 2016. It was on public display at FederalRegister.gov and was published in the Federal Register on Aug. 16, 2016. CMS also issued a Fact Sheet and Blog Post on the proposed rule.
NPA prepared the following resources:
- Section-by-Section Summary of the Proposed Rule
- NPA Comment on Proposed PACE Rule (10/12/16)
- Template Response Letter for NPA Members
PACE Regulations and Other Resources
- Consolidated PACE Regulation (42 CFR Part 460)
- PACE Final Rule (F.R. Vol. 71, No. 236, 12/8/06)
- PACE Interim Final Rule (F.R. Vol. 67, No. 190, 10/1/02)
- PACE Interim Final Rule (F.R. Vol. 64, No. 226, 11/24/99)
- CMS PACE Manual
- CMS State PACE Readiness Review Guide
CMS Presentations at 2016 NPA Spring Policy Forum
- NPA Spring Policy Forum Conference Presentation, by Martha Hennessy, Deputy Director, Division of Medicare Advantage Operations, Medicare Drug & Health Plan Contract Administration Group
- PACE Medicaid Rate Setting, by Carrie Smith, Division Director, Division of Health Homes, PACE, COB/TPL, Disabled and Elderly Health Programs Group, Center for Medicaid & CHIP Services
- PACE Audit Process Improvements, by Tamara McCloy, Division of Medicare Health Plans Operations, and Caroline Zeman, Medicare Parts C & D Oversight & Enforcement Group
NPA Comments and Summaries
Members can log in to view NPA Comments and Summaries.
