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CMS Announces Long-Awaited PACE Final Rule

UPDATED 6/10/19: On May 28, 2019, the Centers for Medicare and Medicaid Services (CMS) announced a new final rule for PACE (Programs of All-Inclusive Care for the Elderly) programs. 

The new final rule is expected to increase flexibility for PACE programs and may have the effect of expanding access to PACE among consumers. The rule’s publication has been long anticipated- the proposed rule was first issued in August 2016. LeadingAge submitted comments during the comment period in October 2016.

According to CMS, “The majority of participants served by PACE are dually eligible for both Medicare and Medicaid. More than 45,000 older adults are currently enrolled in more than 100 PACE organizations in 31 states, and enrollment in PACE has increased by over 120 percent since 2011.

LeadingAge has prepared a summary analysis of the final rule here (PDF version). Members with questions or comments about the final rule are encouraged to reach out to Brendan Flinn of the LeadingAge staff.

The PACE Final Rule will be officially published on June 3, 2019.