La. Admin. Code tit. 50 § XXIII-101

Current through Register Vol. 50, No. 11, November 20, 2024

Section XXIII-101 - Purpose and Scope

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C. Repealed.

La. Admin. Code tit. 50, § XXIII-101

Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 30:244 (February 2004), Amended by the Department of Health, Bureau of Health Services Financing and the Office of Aging and Adult Services, LR 50399 (3/1/2024).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254, Title XIX of the Social Security Act, and 42 CFR 460 et seq.