Programs of All-Inclusive Care for the Elderly Final Rule

May 30, 2019
Policy Snapshot

On May 28, the Centers for Medicare & Medicaid Services (CMS) finalized a rule to update and modernize the Programs of All-Inclusive Care for the Elderly (PACE). PACE provides comprehensive medical and social services to certain frail, elderly individuals who qualify for nursing home care but, at the time of enrollment, can still live safely in the community. The majority of participants are dually eligible for both Medicare and Medicaid.

The final rule revises and updates the requirements for the PACE program under Medicare and Medicaid, including:

  • Strengthening protections and improving care for participants
  • Providing administrative flexibility and regulatory relief for organizations

The changes will provide greater operational flexibility, remove redundancies and outdated information, and codify existing practice.

Review the final rule here.