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

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

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