[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: 42CFR460.52]



[Page 419-420]

 

                         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 D_Sanctions, Enforcement Actions, and Termination

 

Sec. 460.52  Transitional care during termination.



    (a) The PACE organization must develop a detailed written plan for 

phase-down in the event of termination, which describes how the 

organization plans to take the following actions:

    (1) Inform participants, the community, CMS and the State 

administering agency in writing about termination and transition 

procedures.

    (2) Assist participants to obtain reinstatement of conventional 

Medicare and Medicaid benefits.

    (3) Transition participants' care to other providers.

    (4) Terminate marketing and enrollment activities.



[[Page 420]]



    (b) An entity whose PACE program agreement is in the process of 

being terminated must provide assistance to each participant in 

obtaining necessary transitional care through appropriate referrals and 

making the participant's medical records available to new providers.