Connecticut General Statutes/Title 17b/Chapter 319bb/Section 17b-428

CGS § 17b-428. Program of All-Inclusive Care for the Elderly (PACE).

(a) As used in this section:

(1) “Commissioner” means the Commissioner of Social Services;

(2) “PACE program” has the same meaning as provided in 42 USC 1395eee, as amended from time to time, and includes a program of all-inclusive care for the elderly;

(3) “Eligible individual” means “PACE program eligible individual”, as defined in 42 USC 1395eee, as amended from time to time, or in a Medicaid state plan amendment approved by the United States Department of Health and Human Services;

(4) “PACE program agreement” means “PACE program agreement”, as defined in 42 USC 1395eee, as amended from time to time;

(5) “PACE provider” means “PACE provider”, as defined in 42 USC 1395eee, as amended from time to time; and

(6) “State administering agency” means “state administering agency”, as defined in 42 USC 1395eee, as amended from time to time.

(b) The commissioner may submit a Medicaid state plan amendment to add PACE program services, within available appropriations, to the Medicaid state plan.

(c) The Department of Social Services shall be the state administering agency for the state of Connecticut responsible for administering PACE program agreement services. Upon approval of the Medicaid state plan amendment, the department shall establish participation criteria for eligible individuals and PACE providers and make payments for PACE program services from funds appropriated to the Medicaid account.

(d) The commissioner may adopt regulations in accordance with chapter 54 to implement the provisions of this section. The commissioner, pursuant to section 17b-10, may implement policies and procedures to implement the provisions of this section while in the process of adopting such policies and procedures in regulation form, provided the commissioner posts notice of the intent to adopt the regulation on the eRegulations System not later than twenty days after the date of implementation. Such policies and procedures shall be valid until the time final regulations are adopted.

Short History

(P.A. 98-198, S. 1, 4; P.A. 23-30, S. 2; 23-204, S. 165.)

Long History

History: P.A. 98-198 effective June 8, 1998; P.A. 23-30 amended Subsec. (a) by adding new Subdiv. (2) defining “PACE program”, redesignating existing Subdiv. (2) as new Subdiv. (3) and substituting “Medicaid state plan amendment” for “waiver application”, deleting former Subdiv. (3) defining “PACE program”, deleting former Subdiv. (6) defining “Secretary”, redesignated existing Subdiv. (7) as new Subdiv. (6) and substituting “42 USC 1395eee” for “Subtitle I of Public Law 105-33” throughout, substantially revised Subsec. (b) by deleting provisions re the PACE pilot program and adding provision permitting submission of a Medicaid state plan amendment to add PACE program services to the Medicaid state plan, amended Subsec. (c) by deleting provision re department assistance to Secretary of the United States Department of Health and Human Services in establishing certain procedures for PACE agreements and adding provisions re establishment of participation criteria and payments for services, deleted former Subsec. (d) re provision of medical assistance for PACE program services, redesignated Subsec. (e) as new Subsec. (d) and added provision re implementation of policies and procedures, and made technical and conforming changes, effective July 1, 2023; P.A. 23-204 made identical changes as P.A. 23-30, effective July 1, 2023.

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