Compliance checklist

Program of All Inclusive Care for the Elderly (PACE) · 41NHA-S4038. 346 requirement sentences found in the notice and 6 attachments: every "shall", "must" and "required", quoted as written and sorted into submission requirements (14) and performance / contract clauses (332). Nothing is generated.

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Submission requirements · 14

41NHA-S4038 - SOW - 10-08.docx · PROGRAM ADMINISTRATION AND OPERATIONS · 2

If any changes are made, the Contractor must submit Attachment B - PACE Service Delivery Arrangements to the NVHA during the readiness review process but no later than 60 days prior to commencing services.
The Contractor must notify Nevada Medicaid via email to PACE@nvha.nv.gov within 24 hours of the event of a closure, suspension or adverse action taken by HCQC.

41NHA-S4038 - SOW - 10-08.docx · REPORTING REQUIREMENTS · 2

Annual Reporting Requirements Annual reports shall be submitted no later than February 15 of the following calendar year and in a format approved by the NVHA.
Annual Financial Submission including a financial statement summarizing revenue, service cost expenses, and administrative expenses; and Attachment B - PACE Service Delivery Arrangements Monthly Reporting Requirements Encounter Data Submission The Contractor shall electronically submit monthly Encounter Data for all completed and authorized PACE services.

Performance / contract clauses · 332

41NHA-S4038 - SOW - 10-08.docx · PROGRAM ADMINISTRATION AND OPERATIONS · 2

Federal and State Authority The Contractor shall operate Program of All Inclusive Care for the Elderly (PACE) in accordance with all applicable Federal and State laws, regulations, and program policies that govern performance of the contractual agreements.
Governing Body and Participant Advisory Committee The Governing Body for the Contractor shall include a minimum of seven members.

41NHA-S4038 - SOW - 10-08.docx · FISCAL REQUIREMENTS · 2

The resulting rate will be established on a per-member, per-month (PMPM) basis and must remain below the amount Nevada Medicaid estimates it would otherwise pay for comparable services outside of PACE.
The Contractor must ensure that no compensation arrangements with individuals or entities performing utilization management activities under this contract create incentives to deny, limit, or discontinue medically necessary services for any participant.

Extracted from the notice text and attachments as published. The solicitation governs; read Sections L and M in full before you submit.