OK SPA 21-0047 Program of All-inclusive Care for the Elderly (PACE) Capitation Payment Rate Methodology

OK SPA 21-0047 Program of All-inclusive Care for the Elderly (PACE) Capitation Payment Rate Methodology

A State Plan amendment (SPA) will be submitted to CMS to revise the language regarding current methodology used to calculate the capitation rate payment for PACE organizations. The SPA will remove the Medicare Economic Index (MEI) adjustment from the rate methodology wording, as the PACE capitation rate is based on the established upper payment limit (UPL), which is reviewed annually, and adjusted as needed without regard to the MEI.

Please view the draft SPA pages here: OK SPA 21-0047, and submit feedback via the comment box below.

Tribal Consultation: 11/02/2021

60-day Tribal Consultation Period: 10/19/2021 – 12/18/2021

Circulation Date: 11/02/2021

Comment Due Date: 12/02/2021

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Last Modified on Dec 03, 2021

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