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DHS outlines PACE implementation steps; providers urge equitable rate structure and regional access
Summary
DHS presented its PACE implementation and actuarial analyses, said a state plan amendment and CMS approvals would be required, and solicited provider interest through an RFI. Testimony from a national PACE operator urged nuanced capitated rates and emphasized PACE's ability to serve rural and culturally specific populations.
The Department of Human Services briefed the committee on PACE (Program of All‑Inclusive Care for the Elderly) implementation, actuarial work and an RFI to gauge provider interest. DHS said PACE would require a state plan amendment with the Centers for Medicare & Medicaid Services, that PACE serves people 55 and older who meet nursing‑facility level of care, and that the model uses a per‑member‑per‑day capitated payment covering Medicare and Medicaid benefits.
Assistant Commissioner (presenting DHS analysis) said the department completed an implementation analysis and actuarial review as directed by the legislature and issued a request for information to potential…
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