Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.44 - Programs of All-Inclusive Care for the Elderly (PACE)
Section 10.09.44.09 - Covered Services
Universal Citation: MD Code Reg 10.09.44.09
Current through Register Vol. 51, No. 19, September 20, 2024
A. Except as limited or expanded by the PACE benefit package specified in the PACE program agreement, the PACE provider shall directly provide, arrange, purchase, or otherwise make available, as medically necessary and appropriate, the services specified in the State Plan and the PACE benefit package.
B. The PACE benefit package for all participants, regardless of the source of payment, shall include the following:
(1) All Medicaid-covered services, as
specified in the State Plan;
(2)
Multidisciplinary assessment and treatment planning;
(3) Social work services;
(4) Nutritional counseling;
(5) Recreational therapy;
(6) Certain meals;
(7) Medical specialty services;
(8) Prosthetics, orthotics, corrective vision
devices, such as eyeglasses and lenses, hearing aids, dentures, and repair and
maintenance of these items;
(9)
Assisted living; and
(10) Other
services determined necessary by the multidisciplinary team to improve and
maintain the participant's overall health status.
C. For access, including access to emergency services, the PACE provider shall comply with 42 CFR § 460.100.
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