42 CFR §460.24

1. (a)Numerical limit. Except as specified in paragraph (b) of this section, CMS does not permit the number of PACE organizations with which agreements are in effect under this part or under section 9412(b) of the Omnibus Budget Reconciliation Act of 1986, to exceed the following:
   1. (1)As of August 5, 1997—40.
   2. (2)As of each succeeding August 5, the numerical limit for the preceding year plus 20, without regard to the actual number of agreements in effect on a previous anniversary date. (For example, the limit is 60 on August 5, 1998 and 80 on August 5, 1999.)
2. (b)Exception. The numerical limit does not apply to a private, for-profit PACE organization that meets the following conditions:
   1. (1)Is operating under a demonstration project waiver under section 1894(h) and 1934(h) of the Act.
   2. (2)Was operating under a waiver and subsequently qualifies for PACE organization status in accordance with sections 1894(a)(3)(B)(ii) and 1934(a)(3)(B)(ii) of the Act.