Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXIII - Program of All Inclusive Care for the Elderly
Chapter 1 - General Provisions
Section XXIII-101 - Purpose and Scope
Universal Citation: LA Admin Code XXIII-101
Current through Register Vol. 50, No. 9, September 20, 2024
A. The Department of Health, Bureau of Health Services Financing implemented the Program of All Inclusive Care for the Elderly (PACE) in accordance with federal regulations at 42 CFR 460 et seq. These regulations set forth:
1. the requirements that an entity must meet
to be approved as a PACE organization that operates a PACE program under
Medicare and Medicaid;
2. how
individuals may qualify to enroll in a PACE program;
3. how Medicare and Medicaid payments will be
made for PACE services;
4.
provisions for federal and state monitoring of PACE programs; and
5. procedures for sanctions and
terminations.
B. The purpose of the Program of All Inclusive Care for the Elderly is to provide prepaid, capitated, comprehensive health care services designed to meet the following objectives:
1. enhance the quality
of life and autonomy for enrolled participants;
2. maximize the dignity of, and respect for,
enrolled participants;
3. enable
enrolled participants to live in the community as long as medically and
socially feasible; and
4. preserve
and support the enrolled participant's family unit.
C. Repealed.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254, Title XIX of the Social Security Act, and 42 CFR 460 et seq.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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