2004 CFR Title 42, Volume 3

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)
	460.2	Basis.
	460.4	Scope and purpose.
	460.6	Definitions.
	460.10	Purpose.
	460.12	Application requirements.
	460.14	Priority consideration.
	460.16	Special consideration.
	460.18	CMS evaluation of applications.
	460.20	Notice of CMS determination.
	460.22	Service area designation.
	460.24	Limit on number of PACE program agreements.
	460.26	Submission and evaluation of waiver requests.
	460.28	Notice of CMS determination on waiver requests.
	460.30	Program agreement requirement.
	460.32	Content and terms of PACE program agreement.
	460.34	Duration of PACE program agreement.
	460.40	Violations for which CMS may impose sanctions.
	460.42	Suspension of enrollment or payment by CMS.
	460.46	Civil money penalties.
	460.48	Additional actions by CMS or the State.
	460.50	Termination of PACE program agreement.
	460.52	Transitional care during termination.
	460.54	Termination procedures.
	460.60	PACE organizational structure.
	460.62	Governing body.
	460.64	Personnel qualifications.
	460.66	Training.
	460.68	Program integrity.
	460.70	Contracted services.
	460.71	Oversight of direct participant care.
	460.72	Physical environment.
	460.74	Infection control.
	460.76	Transportation services.
	460.78	Dietary services.
	460.80	Fiscal soundness.
	460.82	Marketing.
	460.90	PACE benefits under Medicare and Medicaid.
	460.92	Required services.
	460.94	Required services for Medicare participants.
	460.96	Excluded services.
	460.98	Service delivery.
	460.100	Emergency care.
	460.102	Interdisciplinary team.
	460.104	Participant assessment.
	460.106	Plan of care.
	460.110	Bill of rights.
	460.112	Specific rights to which a participant is entitled.
	460.114	Restraints.
	460.116	Explanation of rights.
	460.118	Violation of rights.
	460.120	Grievance process.
	460.122	PACE organization's appeals process.
	460.124	Additional appeal rights under Medicare or Medicaid.
	460.130	General rule.
	460.132	Quality assessment and performance improvement plan.
	460.134	Minimum requirements for quality assessment and performance improvement program.
	460.136	Internal quality assessment and performance improvement activities.
	460.138	Committees with community input.
	460.140	Additional quality assessment activities.
	460.150	Eligibility to enroll in a PACE program.
	460.152	Enrollment process.
	460.154	Enrollment agreement.
	460.156	Other enrollment procedures.
	460.158	Effective date of enrollment.
	460.160	Continuation of enrollment.
	460.162	Voluntary disenrollment.
	460.164	Involuntary disenrollment.
	460.166	Effective date of disenrollment.
	460.168	Reinstatement in other Medicare and Medicaid programs.
	460.170	Reinstatement in PACE.
	460.172	Documentation of disenrollment.
	460.180	Medicare payment to PACE organizations.
	460.182	Medicaid payment.
	460.184	Post-eligibility treatment of income.
	460.186	PACE premiums.
	460.190	Monitoring during trial period.
	460.192	Ongoing monitoring after trial period.
	460.194	Corrective action.
	460.196	Disclosure of review results.
	460.200	Maintenance of records and reporting of data.
	460.202	Participant health outcomes data.
	460.204	Financial recordkeeping and reporting requirements.
	460.208	Financial statements.
	460.210	Medical records.