(320 ILCS 40/15)
(from Ch. 23, par. 6915)
(a) Upon receipt of federal approval, the Illinois Department of Public
Aid (now Department of Healthcare and Family Services) shall implement the PACE program pursuant to the provisions of the approved Title XIX State plan.
(b) Using a risk-based financing model, the nonprofit organization providing
the PACE program shall assume responsibility for all costs generated by
the PACE program participants, and it shall create and maintain a risk
reserve fund that will cover any cost overages for any participant. The
PACE program is responsible for the entire range of services in the
consolidated service model, including hospital and nursing home care,
according to participant need as determined by a multidisciplinary team.
The nonprofit organization providing the PACE program is responsible for
the full financial risk. Specific arrangements of the risk-based
financing model shall be adopted and negotiated by the federal Centers for Medicare and Medicaid Services, the nonprofit organization providing the PACE
program, and the Department of Healthcare and Family Services.
(Source: P.A. 94-48, eff. 7-1-05; 95-331, eff. 8-21-07.)