Common use of Program of All-Inclusive Care for the Elderly Clause in Contracts

Program of All-Inclusive Care for the Elderly. (PACE) — A comprehensive service delivery and financing model that integrates medical and LTSS under dual capitation agreements with Medicare and Medicaid. The PACE program is limited to individuals age fifty-five (55) and over who meet the skilled-nursing-facility level of care criteria and reside in a PACE service area.

Appears in 3 contracts

Samples: Three Way Contract for Capitated Model, Three Way Contract for Capitated Model, Three Way Contract for Capitated Model

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Program of All-Inclusive Care for the Elderly. (PACE) — A comprehensive service delivery and financing model that integrates medical and LTSS under dual capitation agreements with Medicare and Medicaid. The PACE program is limited to individuals age fifty-five (55) and over who meet the skilled-nursing-nursing- facility level of care criteria and reside in a PACE service area.

Appears in 3 contracts

Samples: Three Way Contract for Capitated Model, Three Way Contract for Capitated Model, Three Way Contract for Capitated Model

Program of All-Inclusive Care for the Elderly. (PACE) — A program that is operated by an approved PACE organization and that provides comprehensive service delivery and financing model that integrates medical and LTSS under dual capitation agreements services to PACE enrollees in accordance with Medicare and Medicaid. The a PACE program is limited to agreement. XXXX provides a capitated benefit for individuals age fifty-five (55) and over older who meet the skilled-nursing-facility nursing home level of care criteria as determined by CARES. It features a comprehensive service delivery system and reside in a PACE service areaintegrated Medicare and Medicaid financing. (See ss. 1894 and 1934 of the Social Security Act and 42 CFR Part 460.)

Appears in 2 contracts

Samples: Core Contract Provisions, Core Contract Provisions

Program of All-Inclusive Care for the Elderly. (PACE) - A comprehensive service delivery and financing model that integrates medical and LTSS under dual capitation agreements with Medicare and Medicaid. The PACE program is limited to individuals age aged fifty-five (55) and over who meet the skilled-nursing-nursing- facility level of care (LOC) criteria and reside in a PACE service area.

Appears in 1 contract

Samples: Senior Care Options Contract

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Program of All-Inclusive Care for the Elderly. (PACE) — A program that is operated by an approved PACE organization and that provides comprehensive services to PACE enrollees in accordance with a PACE program agreement. PACE provides a capitated benefit for individuals age 55 and older who meet nursing home level of care as determined by CARES. It features a comprehensive service delivery system and financing model that integrates medical and LTSS under dual capitation agreements with integrated Medicare and MedicaidMedicaid financing. The PACE program is limited to individuals age fifty-five (55) See ss. 1894 and over who meet 1934 of the skilled-nursing-facility level of care criteria Social Security Act and reside in a PACE service area42 CFR Part 460.)

Appears in 1 contract

Samples: Standard Contract

Program of All-Inclusive Care for the Elderly. (PACE) — A program that is operated by an approved PACE organization and that provides comprehensive services to PACE enrollees in accordance with a PACE program agreement. XXXX provides a capitated benefit for individuals age 55 and older who meet nursing home level of care as determined by CARES. It features a comprehensive service delivery system and financing model that integrates medical and LTSS under dual capitation agreements with integrated Medicare and MedicaidMedicaid financing. The PACE program is limited to individuals age fifty-five (55) See ss. 1894 and over who meet 1934 of the skilled-nursing-facility level of care criteria Social Security Act and reside in a PACE service area42 CFR Part 460.)

Appears in 1 contract

Samples: Long Term Care Health Plan Model Contract

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