CMS Pub. 100-11, ch. 17, § 20.7

A PACE Organization requests to expand its geographic service area and open another

physical site in the expanded area:

• PACE organization must obtain approval for expansion from State Medicaid

Agency and State Administering Agency;

• PACE organization and State Administering Agency collaborate on the

provider application in its entirety. To the extent the new site adopts the same

processes as the already approved sites of the provider, the application can

note this without resubmitting approved material;

• The State Administering Agency conducts a readiness review of the new site

while the clock is stopped;

• For an application to expand both service area and add a new center, CMS has

90 days to either request additional information or approve the application.

Upon completion of the State Readiness Review and receipt of the responses

to the request for additional information, CMS has an additional 90 days to

either approve or disapprove the application;

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

new geographic area and new site.

http://www.cms.hhs.gov/PACE/07_Expansions.asp#TopOfPage