Ohio Admin. Code 173-50-01

Current through all regulations passed and filed through December 9, 2024

Section 173-50-01 - PACE: introduction and definitions

(A) Introduction: This chapter regulates PACE, which 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, an adult day service, personal care , 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.

"CMS" means "the centers for medicare and medicaid services."

"IDT" means "inter-disciplinary team."

"ODA" means "the Ohio department of aging."

"ODA's designee" has the same meaning as in rule 173-39-01 of the Administrative Code.

"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 was established under 42 U.S.C. 1396u-4 (August 5, 1997).

"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.

Ohio Admin. Code 173-50-01

Effective: 7/1/2024
Five Year Review (FYR) Dates: 3/18/2024 and 06/29/2029
Promulgated Under: 119.03
Statutory Authority: 121.07, 173.01, 173.02, 173.50
Rule Amplifies: 173.50; 42 C.F.R. Part 460
Prior Effective Dates: 03/28/2009, 02/16/2012, 02/17/2013, 12/19/2013, 08/01/2016, 10/05/2020