US · guidance
CMS Pub. 100-11, ch. 15, § 30.7
Scope of Review
As noted above, the review includes the utilization of the PACE Audit Guide. In addition,
the review may include performance of the following:
• An onsite visit to the PACE organization, which may include, but is not
limited to, the following:
ο Review of participants’ charts;
ο Interviews with staff;
ο Interviews with participants and caregivers; and,
ο Interviews with contractors;
• Observation of program operations, including marketing, participant services,
enrollment and disenrollment procedures, grievances, and appeals;
• A comprehensive assessment of an organization’s fiscal soundness;
• A comprehensive assessment of the organization’s capacity to furnish all
PACE services to all participants; and
• Any other elements that CMS or the State Administering Agency find
necessary.
[42 CFR § 460.190(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
18a8a9a3d1ebffe962be926bde470edaae05f80f8e84cebf955a85b896a45b37
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