|
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 |