Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 45 - PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) › Section 411-045-0040 - PACE Marketing and Informational Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The PACE program may inform the general
			 public of its program through appropriate informational activities and media.
			 The PACE program must ensure that prohibited marketing activities as defined in
			 42 CFR
			 460.82 are not conducted by its employees or
			 its agents.
(2) PACE programs will
			 ensure that all staff who have contact with potential PACE participants are
			 fully informed of PACE program policies, including enrollment, disenrollment
			 and grievance policies and the provision of language and sign language
			 interpreter services including providers who have bilingual capacity.
(3) PACE programs will develop informational
			 materials for potential PACE participants in accordance with the following
			 standards:
(a) PACE programs will provide
			 informational materials sufficient for eligible PACE participants to make an
			 informed decision about applying for enrollment. Information on participating
			 providers must be made available from the program, upon request to potential
			 enrollees, and must include enrollment requirements, benefits and services,
			 locations of PACE centers, and choice of centers and PCPs, list of specialists,
			 fees and other charges;
(b) PACE
			 programs will produce printed informational materials that, at a minimum will
			 include, the Marketing brochures, Participant Handbook, Enrollment Agreement,
			 Disenrollment forms, and Denial of Services notices. These informational
			 materials will be culturally sensitive and in the primary language of each
			 substantial population (35 households) of non-English speaking PACE applicants
			 and participants and in alternate forms for all vision impaired PACE applicants
			 and participants. Alternate forms may include, but are not limited to, audio
			 tapes, closed-captioned videos, large type and Braille;
(c) No written information will be provided
			 to potential PACE participants that has not been approved by the Department.
			 Approval or denial will be granted within 30 days of receipt by the Department.
			 No response in 30 days constitutes approval. Any written communication by the
			 PACE program or its subcontractors and providers that is intended solely for
			 PACE participants and pertains to requirements to receive care at service sites
			 or benefits must be approved by the Department prior to distribution;
			 and
(d) PACE programs will provide
			 written notice to affected PACE participants of any significant changes in
			 program or service sites that impacts the PACE participants' ability to access
			 care or services from PACE providers. Such notice will be provided to PACE
			 participants or their representatives at least 14 calendar days prior to the
			 effective date of that change, or as soon as possible, if the provider has not
			 given the PACE program sufficient notification to meet the 14 days notice
			 requirement. The Department will review and approve such materials within two
			 working days of receipt by the Department.