# Medicare and Medicaid Programs; Programs of All-Inclusive Care for the Elderly (PACE)
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2019-06-03 · Effective 2019-08-02 · 84 FR 25610
## Document
- **Document number:** 2019-11087
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 84 FR 25610
- **CFR reference:** 42 CFR 423
- **Publication date:** 2019-06-03
- **Effective date:** 2019-08-02
- **HHS docket:** CMS-4168-F
## Abstract

This final rule updates the requirements for the Programs of All-Inclusive Care for the Elderly (PACE) under the Medicare and Medicaid programs. The rule addresses application and waiver procedures, sanctions, enforcement actions and termination, administrative requirements, PACE services, participant rights, quality assessment and performance improvement, participant enrollment and disenrollment, payment, federal and state monitoring, data collection, record maintenance, and reporting. The changes will provide greater operational flexibility, remove redundancies and outdated information, and codify existing practice.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2019/06/03/2019-11087/medicare-and-medicaid-programs-programs-of-all-inclusive-care-for-the-elderly-pace)
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