The California Department of Health has issued a new All Facilities Letter (AFL) addressing regulatory exemptions for Programs for All-Inclusive Care of the Elderly (PACE). Effective January 1, 2010, the letter clarifies the responsibilities of the California Department of Health Care Services (DHCS) and the California Department of Public Health (CDPH) in relation to PACE programs. The AFL emphasizes that while state departments may grant exemptions from certain licensing requirements, the state's PACE program must align with the federal purpose for the program. The statutory changes enacted by Assembly Bill (AB) 577 have no impact on the existing PACE Exemption Request process. Healthcare facilities participating in the PACE Program should refer to the full text of applicable sections of Health & Safety Code (HSC) 1580.1, 100315, and Welfare and Institutions Code Sections 14590, 14591, and 14598 to ensure compliance. Failure to comply with these regulations may result in penalties for non-compliant facilities.
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