Code of Federal Regulations (alpha)

CFR /  Title 42  /  Part 460: Programs Of All-Inclusive Care For The Elderly (Pace)

Section No. Description
Section 460.2 Scope and purpose
Section 460.4 Definitions
Section 460.6 Purpose
Section 460.10 Application requirements
Section 460.12 CMS evaluation of applications
Section 460.18 Notice of CMS determination
Section 460.20 Service area designation
Section 460.22 Limit on number of PACE program agreements
Section 460.24 Submission and evaluation of waiver requests
Section 460.26 Notice of CMS determination on waiver requests
Section 460.28 Program agreement requirement
Section 460.30 Content and terms of PACE program agreement
Section 460.32 Duration of PACE program agreement
Section 460.34 Violations for which CMS may impose sanctions
Section 460.40 Suspension of enrollment or payment by CMS
Section 460.42 Civil money penalties
Section 460.46 Additional actions by CMS or the State
Section 460.48 Termination of PACE program agreement
Section 460.50 Transitional care during termination
Section 460.52 Termination procedures
Section 460.54 PACE organizational structure
Section 460.60 Governing body
Section 460.62 Personnel qualifications for staff with direct participant contact
Section 460.64 Training
Section 460.66 Program integrity
Section 460.68 Contracted services
Section 460.70 Oversight of direct participant care
Section 460.71 Physical environment
Section 460.72 Infection control
Section 460.74 Transportation services
Section 460.76 Dietary services
Section 460.78 Fiscal soundness
Section 460.80 Marketing
Section 460.82 PACE benefits under Medicare and Medicaid
Section 460.90 Required services
Section 460.92 Required services for Medicare participants
Section 460.94 Excluded services
Section 460.96 Service delivery
Section 460.98 Emergency care
Section 460.100 Interdisciplinary team
Section 460.102 Participant assessment
Section 460.104 Plan of care
Section 460.106 Bill of rights
Section 460.110 Specific rights to which a participant is entitled
Section 460.112 Restraints
Section 460.114 Explanation of rights
Section 460.116 Violation of rights
Section 460.118 Grievance process
Section 460.120 PACE organization's appeals process
Section 460.122 Additional appeal rights under Medicare or Medicaid
Section 460.124 General rule
Section 460.130 Quality assessment and performance improvement plan
Section 460.132 Minimum requirements for quality assessment and performance improvement program
Section 460.134 Internal quality assessment and performance improvement activities
Section 460.136 Committees with community input
Section 460.138 Additional quality assessment activities
Section 460.140 Eligibility to enroll in a PACE program
Section 460.150 Enrollment process
Section 460.152 Enrollment agreement
Section 460.154 Other enrollment procedures
Section 460.156 Effective date of enrollment
Section 460.158 Continuation of enrollment
Section 460.160 Voluntary disenrollment
Section 460.162 Involuntary disenrollment
Section 460.164 Effective date of disenrollment
Section 460.166 Reinstatement in other Medicare and Medicaid programs
Section 460.168 Reinstatement in PACE
Section 460.170 Documentation of disenrollment
Section 460.172 Medicare payment to PACE organizations
Section 460.180 Medicaid payment
Section 460.182 Post-eligibility treatment of income
Section 460.184 PACE premiums
Section 460.186 Monitoring during trial period
Section 460.190 Ongoing monitoring after trial period
Section 460.192 Corrective action
Section 460.194 Disclosure of review results
Section 460.196 Maintenance of records and reporting of data
Section 460.200 Participant health outcomes data
Section 460.202 Financial recordkeeping and reporting requirements
Section 460.204 Financial statements
Section 460.208 Medical records
Section 460.210 Definitions