Program of All-Inclusive Care for the Elderly (PACE): Oversight and Monitoring

Ensure your PACE programs stay compliant, effective, and focused on participant outcomes. We provide operational reviews, quality monitoring, and ongoing technical assistance to help states manage programs with confidence.

PACE Organization Operationalization Reviews

We provide support to clients in the state readiness review process, ensuring that PACE organizations meet all regulatory requirements. Our services cover:

  • Administrative, Financial, and Operational Reviews: Comprehensive examination of applications from various perspectives, offering constructive feedback.
  • On-Site Readiness Review: Includes a critical clinical evaluation to ensure compliance with CMS guidelines.

PO Application Reviews

Each PACE program applicant submits an electronic application to CMS, which includes state assurances. Myers and Stauffer will thoroughly review these application documents for compliance with federal and state regulations.

PO Policy and Procedure Review

We review an extensive list of PACE policies and procedures to ensure compliance with federal and state regulations in several key areas:

  • Physical environment
  • Infection control
  • Transportation services
  • Dietary services
  • Participant rights
  • Personnel qualifications, training, and competency
  • Overall safety
  • PO Onsite State Readiness Reviews

Monthly PO Meeting Attendance

Our subject matter experts—clinicians, former PACE directors, and consultants—join your monthly check-ins with each PACE organization. These meetings provide ongoing technical assistance, oversight, and monitoring.

Post-Implementation Monitoring

We conduct financial reviews and participate in the federal review process to ensure PACE organizations remain financially sustainable. Monitoring quality metrics post-implementation is essential for long-term success.

Periodic Quality Data Set Design

We help states design quality metrics tailored to their unique priorities, addressing operational, clinical, and financial operations. This ensures that PACE monitoring personnel can maintain comprehensive oversight of the program.

Quality Monitoring

Portal: We help states design quality metrics tailored to their unique priorities, addressing operational, clinical, and financial operations. This ensures that PACE monitoring personnel can maintain comprehensive oversight of the program.

Portal + Dashboard: Enhance your quality monitoring portal with a dashboard that includes data visualizations designed for state agency staff to quickly assess PACE organization quality data.

Periodic On-Site Assessment

We offer both announced and unannounced on-site visits, including:

  • Observations
  • In-person interviews
  • Remote document reviews These assessments help determine the performance of key duties such as service provision, service determination requests, grievances, and appeals.

Periodic Medical Records Review

We conduct periodic reviews of medical records to ensure compliance and quality of care.

PO Policy and Procedure Review

We review an extensive list of PACE policies and procedures to ensure compliance with federal and state regulations in several key areas:

  • Physical environment
  • Infection control
  • Transportation services
  • Dietary services
  • Participant rights
  • Personnel qualifications, training, and competency
  • Overall safety
  • PO Onsite State Readiness Reviews

System Workarounds During Implementation/MMIS Redesign

During the implementation and MMIS redesign phases, we assist with programming requests and change orders to ensure they meet the needs of PACE implementation. We also help with monthly capitation rate payment calculations to avoid delays in service delivery.

For More Information:

Jared B. Duzan, CFE
Principal
PH: 317.815.2925
jduzan@mslc.com

Vicki Bartlett, RN, CCM, COC
Director
PH: 404.524.9052
vbartlett@mslc.com

Lydia Powell, CPA
Senior Manager
PH 509.695.6870
lpowell@mslc.com

“Myers and Stauffer has met every challenge and, in doing so has developed a valuable consulting relationship with our staff. They are the contractor we turn to first when a question arises.”

— State Principal Financial Specialist

“We have been extremely pleased with the services that Myers and Stauffer provides and recommend them without hesitation to assist you with your audit needs.”

— State Medicaid Client

“Myers and Stauffer has established itself as more than an audit contractor. They are who we turn to first when a question arises.”

— State Principal Financial Specialist

“I looked at them as being a role model and ideal vendor. They always met deadlines. They always were flexible. They always were helpful. They always produced things that were accurate, certainly timely. Everything was really tops.”

— Association Director (Formerly with a State Medicaid Agency)

“They deliver a top quality product. I don’t have to second guess or worry. It is timely, professional, complete. They anticipate my needs. I just can’t say enough.”

— State Medicaid Client

“They have never, ever disappointed me. They’ve always been outstanding.”

— State Principal Financial Specialist

“You guys do a lot to ‘make it happen’ … I don’t forget that.”

— State Medicaid Client

Myers and Stauffer “staff conduct themselves in a highly professional manner when working with both state agency personnel and providers of health care services.”

— State Principal Financial Specialist

“Myers and Stauffer makes my job easier. They do complex work so that we can focus more attention on planning and future projects. They help me sleep at night.”

— State Principal Financial Specialist

“We have received the benefit of education, knowledge, and context from Myers and Stauffer’s effective communication.”

— Director (A State Office of Inspector General)