Ohio Administrative Code
Title 173 - Department of Aging
Chapter 173-50 - PACE Program
Section 173-50-01 - PACE: introduction and definitions
Current through all regulations passed and filed through September 16, 2024
(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.
