Common use of Required content Clause in Contracts

Required content. A PACE program agreement must include the following information: (1) A designation of the service area of the organization’s program. The area may be identified by county, zip code, street boundaries, census tract, block, or tribal jurisdictional area, as applicable. CMS and the State admin- istering agency must approve any change in the designated service area. (2) The organization’s commitment to meet all applicable requirements under Federal, State, and local laws and regulations, including provisions of the Civil Rights Act, the Age Discrimi- nation Act, and the Americans With Disabilities Act. (3) The effective date and term of the agreement. (4) A description of the organiza- tional structure of the PACE organiza- tion and information on administrative contacts, including the following: (i) Name and phone number of the program director. (ii) Name of all governing body mem- bers. (iii) Name and phone number of a contact person for the governing body. (5) A participant bill of rights ap- proved by CMS and an assurance that the rights and protections will be pro- vided. (6) A description of the process for handling participant grievances and appeals. (7) A statement of the organization’s policies on eligibility, enrollment, vol- untary disenrollment, and involuntary disenrollment. (8) A description of services available to participants. (9) A description of the organization’s quality improvement program. (10) A statement of the levels of per- formance required by CMS on standard quality measures. (11) A statement of the data and in- formation required by CMS and the State administering agency to be col- lected on participant care. (12) The state’s Medicaid capitation rate or Medicaid payment rate method- ology, and the methodology used to calculate the Medicare capitation rate. (13) A description of procedures that the organization will follow if the PACE program agreement is termi- nated.

Required content. A PACE program agreement must include the following information: (1) A designation of the service area of the organization’s program. The area may be identified by county, zip code, street boundaries, census tract, block, or tribal jurisdictional area, as applicable. CMS and the State admin- istering agency must approve any change in the designated service area. (2) The organization’s commitment to meet all applicable requirements under Federal, State, and local laws and regulations, including provisions of the Civil Rights Act, the Age Discrimi- nation Act, and the Americans With Disabilities Act. (3) The effective date and term of the agreement. (4) A description of the organiza- tional structure of the PACE organiza- tion and information on administrative contacts, including the following: (i) Name and phone number of the program director. (ii) Name of all governing body mem- bers. (iii) Name and phone number of a contact person for the governing body. (5) A participant bill of rights ap- proved by CMS and an assurance that the rights and protections will be pro- vided. (6) A description of the process for handling participant grievances and appeals. (7) A statement of the organization’s policies on eligibility, enrollment, vol- untary disenrollment, and involuntary disenrollment. (8) A description of services available to participants. (9) A description of the organization’s quality assessment and performance improvement program. (10) A statement of the levels of per- formance required by CMS on standard quality measures. (11) A statement of the data and in- formation required by CMS and the State administering agency to be col- lected on participant care. (12) The state’s Medicaid capitation rate or Medicaid payment rate method- ology, and the methodology used to calculate the Medicare capitation rate. (13) A description of procedures that the organization will follow if the PACE program agreement is termi- nated.

Required content. A PACE program agreement must include the following information: (1) A designation of the service area of the organization’s program. The area may be identified by county, zip code, street boundaries, census tract, block, or tribal jurisdictional area, as applicable. CMS and the State admin- istering agency must approve any change in the designated service area. (2) The organization’s commitment to meet all applicable requirements under Federal, State, and local laws and regulations, including provisions of the Civil Rights Act, the Age Discrimi- nation Act, and the Americans With Disabilities Act. (3) The effective date and term of the agreement. (4) A description of the organiza- tional structure of the PACE organiza- tion and information on administrative contacts, including the following: (i) Name and phone number of the program director. (ii) Name of all governing body mem- bers. (iii) Name and phone number of a contact person for the governing body. (5) A participant bill xxxx of rights ap- proved by CMS and an assurance that the rights and protections will be pro- vided. (6) A description of the process for handling participant grievances and appeals. (7) A statement of the organization’s policies on eligibility, enrollment, vol- untary disenrollment, and involuntary disenrollment. (8) A description of services available to participants. (9) A description of the organization’s quality improvement program. (10) A statement of the levels of per- formance required by CMS on standard quality measures. (11) A statement of the data and in- formation required by CMS and the State administering agency to be col- lected on participant care. (12) The state’s Medicaid capitation rate or Medicaid payment rate method- ology, and the methodology used to calculate the Medicare capitation rate. (13) A description of procedures that the organization will follow if the PACE program agreement is termi- nated.