Effective Date: 07/01/2025
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Please review it carefully.
K-day PACE is the sole source of Medicare and Medicaid services for participants. Except in an emergency, all covered services must be provided by or arranged through K-day PACE. Enrollment in PACE means you agree to receive all your healthcare services through our program.
K-day PACE guarantees access to necessary care but does not guarantee access to a specific individual provider.
As a participant in K-day PACE, you have important rights and protections, including:
Participants also have responsibilities, including:
For the complete list, please review [Participant Rights & Responsibilities ].
If you are dissatisfied with the care or services you receive at K-day PACE, you may file a grievance or appeal.
How to file an appeal:
If we deny, reduce, or end a service you believe you need, you have the right to appeal orally or in writing.
Help is available:
You may appoint a representative to act on your behalf. To do so, please complete CMS Form-1696.
You may also contact the State Administering Agency for further assistance.
K-day PACE complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, or gender identity.
Free aids and services are available:
If you need these services, contact us at (213) 757-2080 or Toll Free (888) 322-1530, TTY: (213) 757-2083.
Civil Rights Complaints:
If you believe K-day PACE has failed to provide these services or has discriminated in another way, you may file a grievance with:
Civil Rights Coordinator
K-day PACE
303 South Union Avenue, Los Angeles, CA 90057
Phone: (213) 757-2080 | Toll Free: (888) 322-1530 | TTY: (213) 757-2083
Or file with:
U.S. Department of Health and Human Services, Office for Civil Rights
Online: https://ocrportal.hhs.gov
Phone: 1-800-368-1019 | TTY: 1-800-537-7697
K-day PACE is committed to protecting your personal information and ensuring compliance with all applicable laws, including CMS regulations and HIPAA.
Collection of Personal Information:
We may collect personal information such as your name, date of birth, address, phone number, email address, insurance information, and health-related details as necessary to provide services under the PACE program.
Use of Information:
Your information is used exclusively for:
Sharing of Information:
We will not share, sell, or disclose your personal information to third parties for marketing purposes. Information may be shared only with:
Security:
We implement administrative, technical, and physical safeguards to protect your personal information. However, electronic communication such as text messaging may not always be secure, and you should use caution when sharing sensitive information via SMS.
Your Rights:
You have the right to:
By providing your mobile number and opting in, you agree to receive SMS or MMS text messages from K-day PACE, a Program of All-Inclusive Care for the Elderly (PACE), located at 303 S. Union Ave, Los Angeles, CA 90057. These messages may include information related to your care, appointment reminders, enrollment updates, health education, or other program-related communications.
Message Frequency:
Message frequency will vary depending on your enrollment status and communication needs. Standard message and data rates may apply.
Opt-In and Opt-Out:
Privacy and Data Use:
Your privacy is important to us. We will not sell, rent, or share your mobile phone number or personal information with third parties for marketing purposes. Text message content may include protected health information (PHI) only when necessary and in compliance with the Health Insurance Portability and Accountability Act (HIPAA). All communications are safeguarded to the extent possible, but please be aware that text messages may not be fully secure.
Eligibility:
You must be 18 years or older and the authorized user of the mobile number provided to enroll in our SMS communication service.
Changes to Terms:
K-day PACE reserves the right to update these SMS Terms & Conditions at any time. Updated terms will be posted on our website and available upon request.
We reserve the right to change this notice. Any changes will apply to all PHI we maintain and will be posted on our website with an updated effective date.
If you have questions about this notice, please contact:
Privacy Officer
K-day PACE
303 South Union Avenue
Los Angeles, CA 90057
Phone: (213) 757-2080
Toll Free: (888) 322-1530
Fax/TTY: (213) 757-2083
+1 (213) 757-2080
Toll Free (888) 322-1530
Fax (TTY) (213) 757-2083
303 S Union Avenue, Los Angeles, CA 90057
Mon–Fri, 7:30AM–16:00PM
CMS approval in progress
H4545_WS001_EN
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