Resources

PACE of Cincinnati Brochure

Contact us to schedule a tour or learn more.

When you click on the links below, you will leave the PACE of Cincinnati website.

PACE information from Medicare.gov

National PACE Association

Ohio Department of Aging PACE Information

National Eldercare Locator

How to Appoint Representative: If you would like someone to represent you in your dealings with Medicare, you must sign and submit a written statement to Social Security. You may use Appointment of Representation CMS Form 1696 for this purpose. Click here to complete and download the CME Appointment of Representative Form (CMS Form -1696).

PACE of Cincinnati Enrollment Agreement

Participant Rights and Responsibilities (page 22 of Enrollment Agreement)

We are honored to care for you and want all PACE Participants to be satisfied fully with our care. We want to hear about your concerns. A ‘grievance’ is a verbal or written expression of dissatisfaction or concern about the services or care we provide, medical or non-medical in nature, regardless of whether you are requesting any action be taken as a result. Grievances may be between you and PACE of Cincinnati, or between you and one of your other service providers through the PACE program.

PACE of Cincinnati will continue to provide you with all of your required services during the grievance process. The confidentiality of your grievance will be maintained throughout the grievance process and information pertaining to your grievance will only be released to authorized individuals.

You and your family, caregivers, or designated representatives have the right to make a grievance. You will be given written information on the grievance process when you enroll, and at least annually.

You may verbally express or submit a written grievance with any PACE Team member or any PACE contracted provider at any time. This includes your driver, and the providers who care for you in your home. If you discuss your grievance with a contracted provider, they will let a PACE Team member know the details of your complaint. The Team member will make sure that your grievance is thoroughly documented. You will need to provide complete information about your grievance so that PACE of Cincinnati can respond and help to resolve your grievance in a timely and efficient manner. You may also send a written grievance to:

PACE of Cincinnati
Attn: QI and Compliance Manager
4850 Smith Road, Cincinnati, OH 45212

You also can make a grievance by contacting PACE of Cincinnati at (513) 862-7223, 24/7 at any time.

Please refer to the PACE of Cincinnati Enrollment Agreement for more information.

If PACE of Cincinnati denies your request for a service or for payment of a service, you have the right to file an appeal. At enrollment, annually thereafter, and any time we deny your service or payment request, you will receive written information from us on the appeal process. You, or your family or caregiver, may request information on our appeal process at any time.

If you file an appeal, you will continue to receive the same PACE services and care from us as before. PACE of Cincinnati employees will not discuss your appeal with anyone not involved in the appeal.

If you have Medicaid and your appeal is because PACE of Cincinnati is proposing to reduce or stop a service you have been receiving, you will continue to receive the disputed service until the final decision on your appeal if you request the continuation, with the understanding that you may be liable for the cost of that service if the decision is not in your favor.

You, or your family or caregiver, may file an appeal:

1. by calling the PACE Center between the hours of 8:00 a.m. to 5:00 p.m. EST at (513) 862-7223
2. by indicating your desire to file an appeal in person at the PACE Center with the PACE of Cincinnati Executive Director, Center Manager, or QI Coordinator, or
3. by sending a letter to PACE of Cincinnati at the following address:

PACE of Cincinnati
Attn: Quality Improvement Coordinator
4850 Smith Road, Cincinnati, OH 45212

Please refer to the PACE of Cincinnati Enrollment Agreement for more information.