(A) Introduction: Chapter 173-50 of the
Administrative Code regulates PACE. PACE is a managed-care program that
provides its participants with all of their necessary health care, medical
care, and ancillary services in acute, sub-acute, institutional, and community
settings. Examples of PACE services are primary and specialty care, adult day
services, personal care services, inpatient hospital stays, prescription drugs,
occupational therapy, physical therapy, and nursing facility care.
(B) Definitions for this
chapter:
"Authorized representative" has the
same meaning as in rule 5160-36-01 of the Administrative Code.
"CDJFS" means the "county
department of job and family services."
"CMS" means "the centers for
medicare and medicaid services."
"IDT" means "inter-disciplinary
team."
"ODA" means "the Ohio department
of aging."
"ODM" means "the Ohio department
of medicaid."
"ODM's administrative agency" has
the same meaning as "administrative agency" in rule 5160:1-1-01 of
the Administrative Code.
"PACE" means "the program of
all-inclusive care for the elderly," which is established by 42 C.F.R.
Part 460 (October 1, 2019).
"PACE organization" means an entity
that provides services to participants under a PACE program agreement with CMS
and ODA.
"Participant" means a person who
receives services through PACE.
Rule 173-50-02 | PACE: eligibility requirements.
3 pages
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