CMS PACE Audit Results
Guidance for information regarding results of the Program of All-Inclusive Care for the Elderly (PACE) audits evaluating the delivery of health care services to participants enrolled in PACE Organizations.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 05, 2020
The purpose of this page is to provide information regarding results of the Program of All-Inclusive Care for the Elderly (PACE) audits evaluating the delivery of health care services to participants enrolled in PACE Organizations. The excel file below provides audit information including details on the number of applicable Corrective Actions Required (CARs) and Immediate Corrective Actions Required (ICARs), and whether an enforcement action was taken as a result of the audit.
Starting in 2023, CMS began conducting Initial Comprehensive Reviews for organizations within their first trial year. Initial Comprehensive Reviews are scaled down versions of the normal audit process, focused on both assessing potential non-compliance, as well as providing technical guidance to ensure new organizations can adequately correct. Conditions of non-compliance are cited during initial comprehensive reviews, but are not classified as either CARs or ICARs and therefore "NA" is indicated below in those columns.
For questions on any of this information, please send an email to PACEAuditQs@cms.hhs.gov .
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