[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: 42CFR460.64] [Page 421-422] 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: (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. [[Page 422]] (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.