[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: 42CFR460.64]

[Page 414-415]
 
                         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. 460.64  Personnel qualifications.

    (a) General qualification requirements. Except as specified in 
paragraphs (b) and (c) of this section, each member of the staff 
(employee or contractor) of the PACE organization must meet the 
following conditions:
    (1) Be legally authorized (currently licensed or, if applicable, 
certified or registered) to practice in the State in which he or she 
performs the function or actions.
    (2) Only act within the scope of his or her authority to practice.
    (b) Federally-defined qualifications for physician. (1) A physician 
must meet the qualifications and conditions in Sec. 410.20 of this 
chapter.
    (2) A primary care physician must have a minimum of 1 year's 
experience working with a frail or elderly population.
    (c) Qualifications when no State licensing laws, State 
certification, or registration requirements exist. If there are no State 
licensing laws, State certification, or registration applicable to the 
profession, the following requirements must be met:
    (1) Registered nurse. A registered nurse must meet the following 
requirements:
    (i) Be a graduate of a school of professional nursing.
    (ii) Have a minimum of 1 year's experience working with a frail or 
elderly population.
    (2) Social worker. A social worker must meet the following 
requirements:

[[Page 415]]

    (i) Have a master's degree in social work from an accredited school 
of social work.
    (ii) Have a minimum of 1 year's experience working with a frail or 
elderly population.
    (3) Physical therapist. A physical therapist must meet the following 
requirements:
    (i) Be a graduate of a physical therapy curriculum approved by one 
of the following:
    (A) The American Physical Therapy Association.
    (B) The Committee on Allied Health Education and Accreditation of 
the American Medical Association.
    (C) The Council on Medical Education of the American Medical 
Association and the American Physical Therapy Association.
    (D) Other equivalent organizations approved by the Secretary.
    (ii) Have a minimum of 1 year's experience working with a frail or 
elderly population.
    (4) Occupational therapist. An occupational therapist must meet the 
following requirements:
    (i) Be a graduate of an occupational therapy curriculum accredited 
jointly by the Committee on Allied Health Education and Accreditation of 
the American Medical Association and the American Occupational Therapy 
Association or other equivalent organizations approved by the Secretary.
    (ii) Be eligible for the National Registration Examination of the 
American Occupational Therapy Association.
    (iii) Have 2 years of appropriate experience as an occupational 
therapist and have achieved a satisfactory grade on a proficiency 
examination conducted, approved, or sponsored by the U.S. Public Health 
Service, except that the determination of proficiency does not apply 
with respect to persons initially licensed by a State or seeking initial 
qualification as an occupational therapist after December 31, 1977.
    (iv) Have a minimum of 1 year's experience working with a frail or 
elderly population.
    (5) Recreation therapist or activities coordinator. A recreation 
therapist or activities coordinator must have 2 years experience in a 
social or recreational program providing and coordinating services for a 
frail or elderly population within the last 5 years, one of which was 
full-time in a patient activities program in a health care setting.
    (6) Dietitian. A dietitian must meet the following requirements:
    (i) Have a baccalaureate or advanced degree from an accredited 
college with major studies in food and nutrition or dietetics.
    (ii) Have a minimum of 1 year's experience working with a frail or 
elderly population.
    (7) Drivers. A PACE center driver must meet the following 
requirements:
    (i) Have a valid driver's license to operate a van or bus in the 
State of operation.
    (ii) Be capable of, and experienced in, transporting individuals 
with special mobility needs.