CMS Memo: Changes to PACE-Related Reports and RxHCC Models

On October 8, the Centers for Medicare and Medicaid (CMS) released an informational memo via the Health Plan Management System (HPMS) detailing changes coming to multiple Program of All-Inclusive Care for the Elderly (PACE)-related models and reports.

The memo covers information on the implementation of the 2025 RxHCC Risk Adjustment Models and Normalization Factors, and Updates to the Monthly Membership Report (MMR) and Model Output Reports (MORs).

Changes to existing systems and reports are highlighted in yellow within the memo, and explicit changes are delineated by PACE and Non-PACE plans.

Organizations interested in seeking clarification from CMS on questions relating to the contents of the memo can find specific resource account addresses for each updated report or model.