La. Admin. Code tit. 50 § XXIII-105

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

Section XXIII-105 - Administrative Requirements

A. A PACE organization must have a fiscally sound operation, as demonstrated by:

1. total assets greater than total unsubordinated liabilities;

2. sufficient cash flow and adequate liquidity to meet obligations as they become due; and

3. a net operating surplus or a financial plan for solvency that is satisfactory to the Centers for Medicaid and Medicare Services (CMS) and the Department of Health.

B. A PACE organization shall operate under the control of an identifiable governing body such as a board of directors, which must include at least one community representative. The following advisory committees shall also be established to advise the board of directors:

1. Consumer Advisory Committee;

2. Ethics Committee;

3. Restraint Committee; and

4. any other committees as required by CMS and/or LDH.

La. Admin. Code tit. 50, § XXIII-105

Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 30:245 (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.