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Instructions To Process Services During Disenrollment From The Programs Of All-Inclusive Care For The Elderly (PACE)

The purpose of this Change Request (CR) is to implement system changes when a Programs of All-Inclusive Care for the Elderly (PACE) patient has an inpatient stay that cannot be split during disenrollment from the PACE. We are clarifying how Medicare contractors shall process inpatient claims for services during a PACE disenrollment.

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: September 06, 2023

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.