[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR460.4]



[Page 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 A_Basis, Scope, and Definitions

 

Sec. 460.4  Scope and purpose.



    (a) General. This part sets forth the following:

    (1) The requirements that an entity must meet to be approved as a 

PACE organization that operates a PACE program under Medicare and 

Medicaid.

    (2) How individuals may qualify to enroll in a PACE program.

    (3) How Medicare and Medicaid payments will be made for PACE 

services.

    (4) Provisions for Federal and State monitoring of PACE programs.

    (5) Procedures for sanctions and terminations.

    (b) Program purpose. PACE provides pre-paid, capitated, 

comprehensive health care services designed to meet the following 

objectives:

    (1) Enhance the quality of life and autonomy for frail, older 

adults.

    (2) Maximize dignity of, and respect for, older adults.

    (3) Enable frail, older adults to live in the community as long as 

medically and socially feasible.

    (4) Preserve and support the older adult's family unit.