N.Y. Public Health Law § 2999-V – Eligibility and enrollment | Midpage
2999-V
N.Y. Public Health Law § 2999-V
Eligibility and enrollment
Effective Jun 30, 2023
1. To be eligible to enroll in a PACE organization, an individual shall:
(a)
(i) be at least fifty-five years old;
(ii) meet the eligibility requirements for a nursing home level of care;
(iii) reside within the PACE organization's approved service area;
(iv) be able to be maintained safely in the community-based setting with the assistance of the PACE organization; and
(v) meet any additional program specific eligibility conditions imposed under the PACE program agreement between the PACE organization, the department, and CMS; or
(b) be otherwise eligible to participate in a PACE demonstration or specialty program authorized by the federal PACE Innovation Act and approved by the department and CMS.
2. Enrollment in a PACE organization shall be voluntary for the eligible individual.