[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: 42CFR460.98]



[Page 429]

 

                         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 F_PACE Services

 

Sec. 460.98  Service delivery.



    (a) Plan. A PACE organization must establish and implement a written 

plan to furnish care that meets the needs of each participant in all 

care settings 24 hours a day, every day of the year.

    (b) Provision of services. (1) The PACE organization must furnish 

comprehensive medical, health, and social services that integrate acute 

and long-term care.

    (2) These services must be furnished in at least the PACE center, 

the home, and inpatient facilities.

    (3) The PACE organization may not discriminate against any 

participant in the delivery of required PACE services based on race, 

ethnicity, national origin, religion, sex, age, mental or physical 

disability, or source of payment.

    (c) Minimum services furnished at each PACE center. At a minimum, 

the following services must be furnished at each PACE center:

    (1) Primary care, including physician and nursing services.

    (2) Social services.

    (3) Restorative therapies, including physical therapy and 

occupational therapy.

    (4) Personal care and supportive services.

    (5) Nutritional counseling.

    (6) Recreational therapy.

    (7) Meals.

    (d) Center operation. (1) A PACE organization must operate at least 

one PACE center either in, or contiguous to, its defined service area 

with sufficient capacity to allow routine attendance by participants.

    (2) A PACE organization must ensure accessible and adequate services 

to meet the needs of its participants. If necessary, a PACE organization 

must increase the number of PACE centers, staff, or other PACE services.

    (3) If a PACE organization operates more than one center, each 

center must offer the full range of services and have sufficient staff 

to meet the needs of participants.

    (e) Center attendance. The frequency of a participant's attendance 

at a center is determined by the interdisciplinary team, based on the 

needs and preferences of each participant.



[[Page 430]]