CMS Pub. 100-11, ch. 15, § 80

PACE organizations are required to maintain a health information system that collects,

analyzes, integrates, and reports data necessary to measure their performance and to

develop their QAPI.

HPMS is a CMS internal health information system that collects, analyzes, integrates,

and reports data to measure the organization’s performance and to develop and

implement procedures to furnish data pertaining to the provision of care to external

oversight entities in the manner and at the time intervals specified by CMS and the State

Administering Agency. A PACE organization must submit to CMS and the State

Administering Agency all reports required to monitor the operation, costs, quality, and

effectiveness of the PACE program and established payment rates.

In developing procedures for external reporting, the PACE organization must include the

submission of CMS monitoring data which is specified as “participant data” in Appendix

L of the PACE Program Agreement. CMS requires the data to be reported

quarterly/seasonally through the HPMS system. A listing of the nine data elements can

be found in Chapter 10 Section 30.

PACE programs are required to submit Data Elements for Monitoring on a quarterly

basis via the HPMS. HPMS information may be used by CMS and State Administering

Agencies in the time period before or after signing the program agreement which

contains these reporting requirements. PACE organizations are provided with instructions

on the HPMS: The HPMS Connectivity Guide, HPMS User’s Guide and HPMS

Connectivity for States. These materials can also be found on the CMS Web site at

http://www.cms.hhs.gov/PACE/09_AdditionalResources.asp.

[42 CFR §§ 460.134, 460.140, 460.200, 460.202, 460.204; 71 FR 71307 (Dec. 8, 2006)]