CMS Pub. 100-11, ch. 17, § 20.5

A PACE Organization requests to expand its geographic service area without building

additional sites:

• PACE organization must obtain approval for expansion from State Medicaid

Agency (SMA) and State Administering Agency;

• PACE organization and State Administering Agency collaborate on the

provider application in its entirety. To the extent the expanded service area

reflects the same processes as the already approved service area of the

provider, the application can note this without resubmitting approved material;

• For an expansion application for a geographic service area expansion only,

CMS has 45 days to request additional information or approve the application.

Upon the receipt of responses to the request for additional information, CMS

has an additional 45 days to either approve or disapprove the application;

• If approved, the Program Agreement’s Appendix C is amended to reflect the

new service area.