Participant Rights & Policies
Bill of Rights
Learn about your rights and protections as a participant of VCC PACE.
Notice of Non-Discrimination
VCC PACE does not discriminate against participants on the basis of race, color, national origin, age, disability, sex, or other protected characteristics in the provision of services.
Notice of Privacy
Learn how VCC PACE protects your personal and health information and how your information may be used and disclosed.
Grievances & Appeals
If you are dissatisfied with your care or services, or if VCC PACE makes a decision regarding coverage or payment for a service, you have the right to file a grievance or appeal.
Please see instruction on the grievances and appeals page
How to Appoint a Representative with CMS Form 1696
You may appoint a representative to act on your behalf in matters involving an appeal, grievance, complaint, or request for an initial determination or decision.
To appoint a representative, complete CMS Form 1696 – Appointment of Representative and send the completed form to the same location where you are submitting, or have already submitted, your appeal, grievance or complaint, or request for an initial determination or decision.
If you need additional assistance, contact 1-800-MEDICARE. TTY users may call 1-877-486-2048. You may also contact VCC PACE for assistance.