Summary of Changes

PACE Summary of Changes_Off Cycle PRA_2024.docx

The PACE Organization Application Process in 42 CFR Part 460 (CMS-10631)

Summary of Changes

OMB: 0938-1326

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Revision/Clarification







Purpose of the Revision/Clarification







2023 PACE Application Section

Level of

Applicant

Burden I = Increases burden

D – Decreases burden

N – No Change

  1. Updated Table of Contents

  2. Changes resulted in revisions to pagination and addition of new section

  3. Table of Contents

  4. N

  5. Minor editorial changes throughout for clarification

  6. Minor editorial changes throughout the application that do not result in substantive changes to the document

  7. Global changes

  8. N

  9. Adding references to new regulatory updates affecting the PACE program.

  10. Editorial and updates to program requirements

  11. Section 1.1 Overview

  12. N

  13. Clarification on guidance for submission of service area information in application.

  14. Clarification to guidance.

  15. Section 2 Instructions

  16. 2.0 Overview

  17. N

  18. New attestation added to chart of required attestation

  19. Update regarding new PACE program requirements

  20. 2.2 Chart of Required Attestations and Uploads

  21. N

  22. New attestation added to Explanation of Rights Section

  23. New attestation requirement for updated rules in CMS-4201-F3/CMS-4205-F

  24. 3.6 Explanation of Rights

  25. N

  26. Changes to Grievances section to clarify new requirements

  27. Changes to section overview and attestations related to updates rules in CMS-4201-F3/CMS-4205-F

  28. 3.7 Grievances

  29. N

  30. Changes to Personnel Compliance Section to clarify requirements

  31. Changes to attestation 1 in Personnel Compliance section to clarify changes in rule per CMS-4201-F3/CMS-4205-F

  32. 3.12 Personnel Compliance

  33. N

  34. New attestation in Contracted Services section per requirements

  35. New attestation per updates to regulation in CMS 4201-F3/CMS-4205-F

  36. 3.14 Contracted Services

  37. N

  38. New attestation to Service Delivery section per requirements

  39. New attestation per updates to regulation in CMS 4201-F3/CMS-4205-F

  40. 3.16 Service Delivery

  41. N

  42. Changes to Interdisciplinary Team section to clarify new requirements

  43. Updates to attestation per regulatory updates in CMS 4201-F3/CMS-4205-F

  44. 3.18 Interdisciplinary Team

  45. N

  46. Removal of attestation in Participant Assessment section

  47. Remove duplicative question 8 covered under question 5 with update to 5 adding regulatory citation.

  48. 3.19 Participant Assessment

  49. D

  50. Updates to Plan of Care section based on regulatory updates

  51. Edits to existing attestations, add new attestation, remove attestation all to align with regulatory changes in CMS 4201-F3/CMS-4205-F

  52. 3.20 Plan of Care

  53. N/D

  54. New attestation added related to Past Performance

  55. New attestation new section related to new Past Performance requirements for PACE applicants CMS 4201-F3/CMS-4205-F

  56. 3.33 Past Performance

  57. N

  58. Updates to Part D payment section

  59. Added language to clarify part D policy for PACE participants.

  60. 4.13 Medicare and State Medicaid Capitation Payment

  61. Medicare Part D

  62. N

  63. Clarifying that incomplete applications will not be reviewed

  64. Language to clarify that applications that do not have a state assurances document will be deemed incomplete and not reviewed per final rule CMS 4201-F3/CMS-4205-F

  65. 4.20 State Attestations/Assurances Signature Pages

  66. N

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorFord, Jacqueline (CMS/CM)
File Modified0000-00-00
File Created2024-11-13

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