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.
CMS Releases New Proposed Rule for PACE
CMS has released the long-awaited proposed rule for PACE (CMS-4168-P). It is on public display at FederalRegister.gov. The proposed rule was published in the Federal Register on Aug. 16, 2016. Comments were due by Oct. 17, 2016, 60 days after publication. NPA and other stakeholders are now awaiting release of the new final rule for PACE.
NPA has 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
CMS also has issued a Fact Sheet and Blog Post on the proposed rule.
If you have questions or comments related to the proposed rule, contact Chris van Reenen, vice president of Regulatory Affairs.
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.
