CMS Notifying PACE Plans of Next Round of 1/3 Part D Financial Audits

News | 1 Minute Read

It’s that time of year again! We have been advised that CMS is in the process of notifying PACE plans of their selection for the next round of 1/3 Part D Financial Audits. Selected plans will receive a notice from the CPA contracted to conduct this year’s audits shortly. If your plan is selected for this round of Part D financial audits, the audit team will be focusing on Payment Year 2017. Preparing for this audit is time consuming and complicated, and many forms and requirements need to be finalized prior to the actual audit. Specifically, there are four key pre-audit documents to complete:

  • Document Request List
  • Healthcare Survey
  • Related Policy Worksheets
  • Policies and Procedures Questionnaire

Most PACE plans have completed this process once. If it’s been a while since you last inspected and reviewed these documents, taking time now to update them will save valuable time preparing for the audit. If you have any questions, Capstone Performance Systems, Peak Health Plan Management Services, and CareKinesis are here to help.

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