D.C. Mun. Regs. tit. 27, r. 27-1614

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 27-1614 - PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)

1614.1

Notwithstanding the requirements of § 1612.1, for services provided under the District's Medicaid Managed Care Program, for the period of October 1, 2020, through December 31, 2021, the Director sets the following monthly capitation rates per person enrolled in a contractor's Program of All-Inclusive Care for the Elderly (PACE) organization to be paid to a contractor selected through the solicitation, and no price evaluation factor will be required for procurement of these services:

Rate Cohort	Per-member, Per-month Rate
Full-benefit dual (all genders; ages 55+)	$7,146.32
Medicaid-only participant (all genders; ages 55+)	$10,618.35

D.C. Mun. Regs. tit. 27, r. 27-1614

Final Rulemaking published at 35 DCR 1454 (February 26, 1988); as Final Rulemaking published at 46 DCR 8464 (October 22, 1999); as Final Rulemaking published at 48 DCR 2168 (March 9, 2001); as Final Rulemaking published at 49 DCR 3038 (April 5, 2002); as Emergency Rulemaking published at 51 DCR 10653 (November 19, 2004)[EXPIRED]; as Emergency Rulemaking published at 52 DCR 5767 (June 17, 2005) [EXPIRED]; as Final Rulemaking published at 52 DCR 6354 (July 8, 2005); as amended by Notice of Emergency and Proposed Rulemaking published at 58 DCR 5199 (June 17, 2011)[EXPIRED]; as amended by Notice of Final Rulemaking published at 58 DCR 6411 (July 29, 2011); as amended by Final Rulemaking published at 60 DCR 1136 (February 1, 2013); amended by Final Rulemaking published at 68 DCR 6514 (6/25/2021)

Authority: The Chief Procurement Officer of the District of Columbia (CPO), pursuant to authority granted by Sections 204 and 1106 of the Procurement Practices Reform Act of 2010, effective April 8, 2011 (D.C. Law 18-371; D.C. Official Code §§ 2-352.04 and 2-361.06) (2011 Repl.).