42 C.F.R. § 460.6 Definitions.
Title 42 - Public Health
As used in this part, unless the context indicates otherwise, the following definitions apply: Contract year means the term of a PACE program agreement, which is a calendar year, except that a PACE organization's initial contract year may be from 12 to 23 months, as determined by CMS. Medicare beneficiary means an individual who is entitled to Medicare Part A benefits or enrolled under Medicare Part B, or both. Medicaid participant means an individual determined eligible for Medicaid who is enrolled in a PACE program. Medicare participant means a Medicare beneficiary who is enrolled in a PACE program. PACE stands for programs of all-inclusive care for the elderly. PACE center means a facility operated by a PACE organization where primary care is furnished to participants. PACE organization means an entity that has in effect a PACE program agreement to operate a PACE program under this part. PACE program agreement means an agreement between a PACE organization, CMS, and the State administering agency for the operation of a PACE program. Participant means an individual who is enrolled in a PACE program. Services includes both items and services. State administering agency means the State agency responsible for administering the PACE program agreement. Trial period means the first 3 contract years in which a PACE organization operates under a PACE program agreement, including any contract year during which the entity operated under a PACE demonstration waiver program.
Title 42: Public Health
PART 460—PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)
Subpart A—Basis, Scope, and Definitions
§ 460.6 Definitions.
