42 C.F.R. § 460.68 Program integrity.
Title 42 - Public Health
(a) Persons with criminal convictions. A PACE organization must not employ individuals or contract with organizations or individuals— (1) Who have been excluded from participation in the Medicare or Medicaid programs; (2) Who have been convicted of criminal offenses related to their involvement in Medicaid, Medicare, other health insurance or health care programs, or social service programs under title XX of the Act; or (3) In any capacity where an individual's contact with participants would pose a potential risk because the individual has been convicted of physical, sexual, drug, or alcohol abuse. (b) Direct or indirect interest in contracts. No member of the PACE organization's governing body or any immediate family member may have a direct or indirect interest in any contract that supplies any administrative or care-related service or materials to the PACE organization. (c) [Reserved] (d) Disclosure requirements. A PACE organization must have a formal process in place to gather information related to paragraphs (a) and (b) of this section and must be able to respond in writing to a request for information from CMS within a reasonable amount of time. [64 FR 66279, Nov. 24, 1999, as amended at 67 FR 61505, Oct. 1, 2002]
Title 42: Public Health
PART 460—PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)
Subpart E—PACE Administrative Requirements
§ 460.68 Program integrity.
