Rule 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.
Last updated July 2, 2024 at 9:57 AM
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