CMS Pub. 100-11, ch. 16, § 70.1

The PACE organization must develop a detailed written plan for phase-down in the event

of termination. Such plan must describe how the organization plans to take the following

actions:

• The plan must include a process for informing participants, the community,

CMS and the State Administering Agency in writing about the termination

and transition phases;

• The steps that the PACE organization will take to assist participants to obtain

reinstatement of conventional Medicare and Medicaid benefits;

• Transitioning the participants’ care to other providers;

• Termination of marketing and enrollment activities.

An entity whose PACE Program Agreement is in the process of being terminated must

implement its phase-down plan discussed above and provide assistance to each

participant in obtaining necessary transitional care through appropriate referrals and

ensuring that the participants’ medical records are available to new providers.

[42 CFR § 460.52]