PACE Audit Results

This website contains information regarding the Programs of All-Inclusive Care for the Elderly (PACE) audit results.  PACE audits evaluate the delivery of health care items and services to participants enrolled in PACE Organizations. CMS generates an overall audit score for each audited PACE Organization based on the number and severity of non-compliant conditions found during audit. In this scoring system, a lower score represents better performance on the audit. Because the audit score is generated based on the number of non-compliant conditions discovered, the maximum audit score is unlimited. Also, the scoring system is weighted to ensure that conditions that have the potential to impact participant access to care or services have a greater impact on the overall score. The audit score is calculated by assigning points to identified conditions of non-compliance: 0 points to observations, 1 point to each Corrective Action Required (CAR), 2 points to each Immediate Corrective Action Required (ICAR), and dividing the sum of these points by the number of audit elements tested. The following is the formula for calculating the audit score:

Audit score = (# CARs) + (# of ICARs X 2) / # of audit elements tested

The chart below lists the overall audit score of each PACE Organization audited in 2017 and provides additional detail on the number of Corrective Actions Required (CARs) and Immediate Corrective Actions Required (ICARs), and whether an enforcement action was taken as a result of the audit.

In addition to the information provided in the table below, please refer to the Programs of All-Inclusive Care for the Elderly (PACE) Audit and Enforcement Report for a graphical representation of the overall and individual PACE audit scores of PACE Organizations audited in 2017.  This report can be found in the Downloads section of the PACE Audits page. 

For questions on any of this information, please send an email to PACEAuditQs@cms.hhs.gov .


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Page Last Modified:
08/02/2018 10:40 AM