PACE Policy Letters

The purpose of this Policy Letter (PL) is to inform PACE organizations of the pause to the PACE application process and related changes effective November 20, 2025, until November 19, 2027, at minimum or until otherwise notified through a superseding PL. The Department of Health Care Services (DHCS) is implementing these changes to ensure appropriate resources to operate the PACE program as well as manage the current rate of growth of the PACE program.

The purpose of this policy letter is to notify PACE Organizations (PO) of the Department of Health Care Services (DHCS) Administrative Fee for Adult Day Health Care Centers (ADHC), Primary Care Clinics (PCC), and Home Health Agencies (HHA) Serving Only PACE Participants, as set forth in Welfare & Institutions Code (WIC) Section 14592(c) and (n).

The purpose of this Policy Letter (PL) is to provide guidance to PACE Organizations (PO), on the requirements of Senate Bill (SB) 923. SB923 was signed into law on September 29, 2022, requiring staff in direct contact with PACE participants to complete evidence-based cultural competency training for the purpose of providing trans-inclusive health care. The passage of SB923, also resulted in amendments to Welfare & Institutions Code (W&I) section 14197.09. This PL provides guidance on what POs must do to comply with the requirements of WIC section 14197.09, statutory compliance due dates and guidelines for the development of evidence-based cultural competency training.

Timeline for implementation of requirements

Transgender, Gender Affirming and Intersex (TGI) Training Curriculum Checklist

Guidelines for Evidence-based Cultural Competency Training

The purpose of this policy letter (PL) is to notify PACE Organizations (PO) of the Department of Health Care Services (DHCS) Fiscal Year (FY) 2024-25 Administrative Fee for Adult Day Health Care Centers (ADHC), Primary Care Clinics (PCC), and Home Health Agencies (HHA) Serving Only PACE Participants, as set forth in Welfare & Institutions Code (W&I Code) section 14592(c) and (n).

The purpose of this PL is to provide clarification to the Program of All-Inclusive Care for the Elderly (PACE) Organizations (PO) on the Department of Health Care Services’ (DHCS) policy on telehealth services as outlined in the Medi-Cal Provider Manual. This includes clarification on the services that are covered, and the expectations related to documentation for the telehealth modality.

The purpose of this policy letter is to notify PACE Organizations (PO) of the Department of Health Care Services (DHCS) Fiscal Year (FY) 2023-24 Administrative Fee for Adult Day Health Care Centers (ADHC), Primary Care Clinics (PCC), and Home Health Agencies (HHA) Serving Only PACE Participants, as set forth in Welfare & Institutions Code (W&I Code) section 14592(c) and (n).

The purpose of this policy letter is to require all PACE Organizations (PO) to participate in the I-SAT survey and submit the results of the I-SAT to the Department of Health Care Services (DHCS)

The purpose of this Policy Letter (PL) is to provide clarification to the Program of All-Inclusive Care for the Elderly (PACE) Organizations (PO) on the Department of Health Care Services (DHCS) policy on telehealth services as outlined in the Medi-Cal Provider Manual. This includes clarification on the services that are covered, and the expectations related to documentation for the telehealth modality.

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.

This Policy Letter informs Program of All-Inclusive Care for the Elderly (PACE) Organizations (POs) and potential applicant organizations of the updated Department of Health Care Services (DHCS) application review process and timeline for new PO applications and PACE Expansion applications.

PACE Application Required Attestations and Uploads

Service Area Overlap Review Criteria

Documentation Requirements for DHCS Initial Submission Review of New PACE Application

The purpose of this policy letter is to notify PACE Organizations (PO) of the Department of Health Care Services (DHCS) Administrative Fee for Adult Day Health Care Centers (ADHC), Primary Care Clinics (PCC), and Home Health Agencies (HHA) Serving Only PACE Participants, as set forth in Welfare & Institutions Code (WIC) Section 14592(c) and (n).

The purpose of this Policy Letter (PL) is to clarify standards and procedures for the enrollment and disenrollment of participants in the Program of All-Inclusive Care for the Elderly (PACE) Organizations (PO). This PL incorporates guidance from the PACE Final Rule published by the Centers for Medicare & Medicaid Services (CMS), effective August 2, 2019, and codified in Title 42 of the Code of Federal Regulations (42 CFR) section 460.150 et seq.

The purpose of this PACE Policy Letter (PL) is to provide information about the Department of Health Care Services’ (DHCS) processes to ensure effective communication with members with visual impairments or other disabilities requiring the provision of written materials in alternative formats, by tracking members’ alternative format selections (AFS). The Policy Letter number has been updated. All updates are shown in italics.

This Policy Letter informs Program of All-Inclusive Care for the Elderly (PACE) Organizations (POs) and potential applicant organizations of the updated Department of Health Care Services (DHCS) application review process and timeline for new PO applications and PACE Expansion applications

This Policy Letter informs Program of All-Inclusive Care for the Elderly (PACE) Organizations (POs) and potential applicant organizations of the updated Department of Health Care Services (DHCS) application review process and timeline for new PO applications and PACE Expansion applications.

This Policy Letter replaces PL 16-01informing POs and potential applicant organizations of the revised application review process and timeline for new PO applications and PACE Expansion applications.

Establishes reporting guidelines for the purpose of capturing utilization, revenue, and expenditures across all funding sources

Establishes a fixed schedule for the administration of the Medi-Cal PACE Marketing Exam.

Provides updated definitions and submission guidelines for the reporting of unusual incidents or injuries to DHCS.

Provides an update to the instructions and reporting guidelines for the purpose of capturing utilization, revenue, and expenditures across all funding sources.

LTCD Policy Letters – Description and Publication Date included.