PACE program agreement definition

PACE program agreement means a three-way agreement between CMS, the department, and an entity approved to be a PACE organization for the operation of a PACE program.

PACE program agreement means an agreement between a PACE organization, the health care financing administration, and the department.

PACE program agreement means an agreement between a PACE organization, CMS, and ODA.

Examples of PACE program agreement in a sentence

• The PACE organization must meet or ex- ceed minimum levels of performance, established by CMS and the State ad- ministering agency, on standardized quality measures, such as influenza im- munization rates, which are specified in the PACE program agreement.

• The program provides comprehensive health care services to PACE program eligi- ble individuals in accordance with the PACE program agreement and regulations under this section.

• Under a PACE program agreement, the PACE provider, the Secretary, and the State administering agency shall jointly cooperate in the development and implementation of health status and quality of life outcome measures with respect to PACE program eli- gible individuals.

• Under a PACE program agreement, the department shall make a prospective monthly payment to the PACE organization of a capitation amount for each Medicaid enrollee.

• Each contract year (including a year oc- curring before the effective date of this sec- tion) during which an entity has operated a PACE demonstration waiver program shall be counted under subparagraph (A) as a con- tract year during which the entity operated a PACE program as a PACE provider under a PACE program agreement.

• In accordance with 42 CFR Part 460, this is a person who is enrolled in a PACE program under a PACE program agreement.

• In designating a service area under a PACE program agreement under subpara- graph (A)(i), the Secretary (in consultation with the State administering agency) may exclude from designation an area that is al- ready covered under another PACE program agreement, in order to avoid unnecessary duplication of services and avoid impairing the financial and service viability of an ex- isting program.

• The capitation amount to be applied under this subsection for a provider for a contract year shall be an amount specified in the PACE program agreement for the year.

• Only after the qualified Applicant and CMS have reached agreement on the Applicant’s bid submissions will the Applicant be asked to execute its PACE program agreement.

• Successful Applicants will be deemed qualified to enter into a PACE program agreement that includes Part D coverage.

More Definitions of PACE program agreement

PACE program agreement means an agreement that:

PACE program agreement is defined in Section 4.11(r).

PACE program agreement means a contract, pursuant to §32.1-330.3 of the Code of Virginia, under which an entity assumes full financial risk for operation of a comprehensive acute and long-term care prepaid health plan with capitated payments for services provided to PACE enrollees being made by DMAS. The parties to a PACE Program Agreement are the entities operating the PACE plan, DMAS and CMS.

PACE program agreement means a three-way agree- ment between CMS, the department, and an entity approved to be a PACE organization for the operation of a PACE pro- gram.

PACE program agreement means an agreement between a PACE organization, centers for medicare and medicaid services and the administration.