The PACE Access Improvement Act would change rules for the Program of All-Inclusive Care for the Elderly (PACE). Starting January 1, 2027, eligible people could enroll at any time during the month, with coverage starting when the provider receives their signed enrollment agreement. Payments for the first month would be prorated when enrollment starts after the first day.
The bill would let providers apply to open programs, expand service areas, or add care centers at any time. Many applications would be treated as approved if the Secretary does not deny them or request more information within 45 days. Certain experienced providers could add a center in their existing service area by sending a qualifying notice instead of an application.
The bill would require states to provide PACE services to eligible Medicaid enrollees by a specified deadline. It would also change marketing rules and revise requirements for PACE provider agreements and terms.
If you are eligible for PACE, you could enroll at any time during a month, rather than waiting for a particular enrollment date. The bill would also require states to offer PACE services to eligible Medicaid enrollees by their compliance date. These changes would take effect only if the bill becomes law.
The bill provides for prorated first-month payments to PACE providers when enrollment begins after the first day of a month. No publicly available information is provided about other costs or the overall financial impact.
No publicly available information.
No publicly available information.