APA WF # 25-24 PACE Two-Way Agreement

The proposed policy changes are being promulgated as Permanent Rules.

The proposed policy changes establish a new contract for Programs of All-Inclusive Care for the Elderly (PACE) organizations. PACE organizations are required by federal regulation to enter into a three-way agreement with both OHCA and CMS. The proposed revisions will require PACE organizations to enter into a two-way agreement with OHCA only, in addition to the existing three-way agreement. The two-way agreement will allow OHCA to ensure it meets its state and federal oversight obligations as the regulatory agency for PACE organizations.

Please view the draft regulatory text here and submit feedback via the comment box.

Pursuant to 75 O.S. §303(D), a rule impact statement will be posted here beginning December 30, 2025. Individuals may also request a copy using the comment box, and the statement will be provided on December 30, 2025.

Proposed Policy Timeline

Circulation Date: 12/15/2025

Medical Advisory Committee: 1/8/2026

Comment Due Date: 1/15/2026

Public Hearing: 1/15/2026

Board Meeting: 1/21/2026

After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.

Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.