PACE organizations must demonstrate
their ability to provide quality community-based care for the frail
elderly who meet their State's nursing home eligibility standards
using capitated payments from Medicare and the state. The model of
care includes as core services the provision of adult day health
care and multidisciplinary team case management, through which
access to and allocation of all health services is controlled.
Physician, therapeutic, ancillary, and social support services are
provided in the participant's residence or on-site at the adult day
health center. PACE programs must provide all Medicare and Medicaid
covered services including hospital, nursing home, home health, and
other specialized services. Financing of this model is accomplished
through prospective capitation of both Medicare and Medicaid
payments.
PL:
Pub.L. 105 - 33 4801 Name of Law: the Balanced Budget Act of
1997
PL:
Pub.L. 106 - 554 903 Name of Law: Medicare, Medicaid and SCHIP
Benefits Improvement Act of 2000
US Code: 42
USC 1395eee Name of Law: PAYMENTS TO, AND COVERAGE OF BENEFITS
UNDER PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)
PL:
Pub.L. 108 - 173 902 Name of Law: Medicare Prescription Drug
Improvement and Modernization Act of 2003 (MMA)
US Code: 42
USC 1396U-4 Name of Law: PROGRAM OF ALL-INCLUSIVE CARE FOR THE
ELDERLY (PACE)
While this package does not
contain any program changes, it corrects estimates that were set
out in the 2011 PRA package. Specifically, the 2011 package set out
81,911 hours which should have been 56,181 hours for 99 annual
responses. The number of responses in the 2011 package was correct
and is unchanged. Please note that the provision-specific hours and
responses that were set out in the 2011 package were correct and
are unchanged. The aggregate hours were in error and we have added
a burden table to section 12 of this Supporting Statement to better
demonstrate the correct figures and how the totals were
derived.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
CMS-R-244 - Supporting Statement Part A [rev 1-7-2014 by OSORA PRA].doc
Medicare and Medicaid; Programs For All-Inclusive Care For The Elderly (PACE) Contained in 42 CFR 460.12-460.210