D.C. Mun. Regs. tit. 29, r. 29-8806

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 29-8806 - INTERDISCIPLINARY TEAM

8806.1

The PACE organization shall meet the following requirements:

(a) Establish an interdisciplinary team, in accordance with § 8806.2, at each PACE center to comprehensively assess and meet the individual needs of each participant;

(b) Assign each participant to an interdisciplinary team functioning at the PACE center that the participant attends; and

(c) Whenever possible, allow participants to select the members of their interdisciplinary teams.

8806.2

The interdisciplinary team shall be composed of members qualified to fill, at minimum, the following roles:

(a) Primary care provider;

(b) Registered nurse;

(c) Master's-level social worker;

(d) Physical therapist;

(e) Occupational therapist;

(f) Recreational therapist or activity coordinator;

(g) Dietitian;

(h) PACE center manager;

(i) Home care coordinator;

(j) Personal care attendant, or his or her representative; and

(k) Driver, or his or her representative.

8806.3

Primary medical care shall be furnished to a participant by a primary care provider. The primary care provider shall be one of the following:

(a) Primary care physician;

(b) Community-based physician;

(c) A physician assistant licensed in the District and practicing within the scope of practice as defined by District laws; or

(d) A nurse practitioner licensed in the District and practicing within the scope of practice as defined by District laws.

8806.4

Each primary care provider is responsible for the management of a participant's medical situations and the oversight of a participant's use of medical specialists and inpatient care.

8806.5

The interdisciplinary team is responsible for the initial assessment, periodic reassessments, plan of care, and coordination of twenty-four (24) hour care delivery. Each interdisciplinary team member is responsible for the following:

(a) Regularly informing the interdisciplinary team of the medical, functional, and psychosocial condition of each participant;

(b) Remaining alert to pertinent input from any individual with direct knowledge or contact with the participant, including, other team members, participants, and caregivers; and

(c) Documenting changes of a participant's condition in the participant's medical record consistent with documentation polices established by the medical director.

8806.6

The PACE organization shall ensure that all members of the interdisciplinary team have appropriate licenses or certifications under District law, act within the scope of practice as defined by District law, and meet the requirements for direct participant care set forth in 42 CFR § 460.71.

8806.7

The PACE organization shall establish, implement, and maintain documented internal procedures governing the exchange of information between team members, contractors, participants, or participants' authorized representatives, and caregivers consistent with the requirements for confidentiality set forth in 42 CFR § 460.200(e).

D.C. Mun. Regs. tit. 29, r. 29-8806

Final Rulemaking published at 69 DCR 6400 (6/3/2022)