US · guidance
CMS Pub. 100-11, ch. 2, § 60.2
Insolvency Plan
The PACE organization must have a documented plan in the event of insolvency,
approved by the Centers for Medicare & Medicaid Services, and the State Administering
Agency, which provides for the following:
• Continuation of benefits for the duration of the period for which capitation
payment has been made;
• Continuation of benefits to participants who are confined in a hospital on the
date of insolvency until their discharge;
• Protection of participants from liability for payment of fees that are the legal
obligation of the PACE organization.
[42 CFR § 460.80(b)]
History
(Rev. 2, Issued: 06-09-11; Effective: 06-03-11; Implementation: 06-03-11)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
eec894a2fbf9baf949ec6607237838bf52cb78e4be77ee76cd5afb77929e2792
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