MACs?

Question: There are certain functions (e.g., benefit integrity and coordination of benefit) that are not contained in the A/B MAC SOW. Will this work be done by the MACs?

Ultrasound Repair

Ceiling Fan

Angioplasty
Answer: Since comprehensive care is provided to PACE participants, those participants who need end-of-life care will receive the appropriate medical, pharmaceutical, and psychosocial services through the PACE organization. If the participant specifically wants to elect the hospice benefit from a certified hospice organization, then the participant must voluntarily disenroll from the PACE organization. The PACE organization would work with the State administering agency and CMS to facilitate the election of the hospice benefit