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Get the free PACE Organization Attestation or Subordinated Debt Arrangement Form - Final-.pdf

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Subordinated/Guaranteed Debt Attestation Form (PACE and Section 1876 Cost Plans)Subordinated debt is defined as an unsecured debt whose repayment to its parent company ranks after all other debts
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How to fill out pace organization attestation or

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How to fill out pace organization attestation or

01
To fill out the PACE organization attestation, follow these steps:
02
Start by providing your organization's information such as name, address, contact details, and employer identification number (EIN).
03
Indicate the type of PACE organization you are certifying, whether it is a PACE center or a PACE program.
04
Provide details about the services offered by your organization, including the types of health care, therapies, and support provided to participants.
05
Include information about your organization's staffing, including the number of full-time and part-time employees, as well as their qualifications.
06
Specify the location and facilities of your organization, such as the address of your PACE center or program sites.
07
Indicate the estimated number of participants your organization serves or plans to serve.
08
Sign and date the attestation to certify that the information provided is accurate and complete.
09
Submit the completed attestation form to the appropriate governing body or agency, as specified in the instructions.

Who needs pace organization attestation or?

01
PACE organization attestation is required for PACE organizations.
02
PACE (Programs of All-Inclusive Care for the Elderly) organizations are comprehensive care providers that deliver a range of medical and supportive services to elderly individuals who meet certain criteria.
03
PACE organizations typically receive funding from Medicare and/or Medicaid, and the attestation is necessary for certifying their compliance with program requirements.
04
Therefore, any PACE organization that wishes to participate in the PACE program and receive funding needs to fill out the PACE organization attestation.

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