[Code of Federal Regulations]
[Title 42, Volume 3]
[Revised as of October 1, 2002]
From the U.S. Government Printing Office via GPO Access
[CITE: 42CFR460.60]

[Page 413-414]
 
                         TITLE 42--PUBLIC HEALTH
 
  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 
                 HEALTH AND HUMAN SERVICES--(Continued)
 
PART 460--PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)--Table of Contents
 
               Subpart E--PACE Administrative Requirements
 
Sec. 460.60  PACE organizational structure.


    (a) A PACE organization must be, or be a distinct part of, one of 
the following:
    (1) An entity of city, county, State, or Tribal government.
    (2) A private not-for-profit entity organized for charitable 
purposes under section 501(c)(3) of the Internal Revenue Code of 1986. 
The entity may be a corporation, a subsidiary of a larger corporation, 
or a department of a corporation.
    (b) Program director. The organization must employ a program 
director who is responsible for oversight and administration of the 
entity.
    (c) Medical director. The organization must employ a medical 
director who is responsible for the delivery of participant care, for 
clinical outcomes, and for the implementation, as well as oversight, of 
the quality assessment and performance improvement program.
    (d) Organizational chart. (1) The PACE organization must have a 
current organizational chart showing officials in the PACE organization 
and relationships to any other organizational entities.
    (2) The chart for a corporate entity must indicate the PACE 
organization's relationship to the corporate board and to any parent, 
affiliate, or subsidiary corporate entities.
    (3) A PACE organization planning a change in organizational 
structure must notify CMS and the State administering agency, in 
writing, at least 60 days before the change takes effect.
    (4) Changes in organizational structure must be approved in advance 
by

[[Page 414]]

CMS and the State administering agency.
    (5) Changes in organizational structure approved by CMS and the 
State administering agency must be forwarded to the consumer advisory 
committee described in Sec. 460.62(c) of this part for dissemination to 
participants as appropriate.

    Effective Date Note: At 67 FR 61505, Oct. 1, 2002, in Sec. 460.60, 
paragraphs (b) and (c) were revised, effective Oct. 31, 2002. For the 
convenience of the user, the revised text is set forth as follows:

Sec. 460.60  PACE organizational structure.

                                * * * * *

    (b) Program director. The organization must employ, or contract with 
in accordance with Sec. 460.70, a program director who is responsible 
for oversight and administration of the entity.
    (c) Medical director. The organization must employ, or contract with 
in accordance with Sec. 460.70, a medical director who is responsible 
for the delivery of participant care, for clinical outcomes, and for the 
implementation, as well as oversight, of the quality assessment and 
performance improvement program.

                                * * * * *