PL 23-02 and Attachments
This policy letter with attachments outlines the process for current and prospective POs to obtain approval from DHCS to operate a primary care clinic (PCC), Adult Day Health Care (ADHC), and/or a Home Health Agency (HHA) serving only PACE participants and applicants.
- PACE Enrollment Agreement
- Attachment I Application Checklist
- Attachment II ADHC Exemption Tool
- Attachment III PCC Exemption Tool
- Attachment IV Home Health Agency Exemption Checklist
- Attachment V Request for PACE Exemption Flex
- Attachment VI ACS Guidance Memo 1205014
- Attachment VII HPMS Memo PACE ACS 6 2016