CMS Pub. 100-11, ch. 2, § 20.3

The organizational chart is requested at the time of application or expansion request and

when there are changes in key personnel:

• The PACE organization must have a current organizational chart showing

officials in the PACE organization and relationships to any other

organizational entities;

• The chart for a corporate entity must indicate the PACE organization’s

relationship to the corporate board and to any parent, affiliate, or subsidiary

corporate entities;

• A PACE organization planning a change in organizational structure must

notify CMS and the State Administering Agency, in writing, at least 14 days

before the change takes effect.

NOTE: A change in organizational structure is one that may affect the philosophy,

mission, and operations of the PACE organization and impact care delivery to

participants. This would include any change in ownership, relationships to another

corporate board and to any parent, affiliate, or subsidiary corporate entities, the PACE

governing body, its officials, program director and medical director.

[42 CFR §§ 460.32(a)(4), 460.60(d)]