Md. Code Regs. 10.09.44.09

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.09.44.09 - Covered Services

A. Except as limited or expanded by the PACE benefit package specified in the PACE program agreement, the PACE provider shall directly provide, arrange, purchase, or otherwise make available, as medically necessary and appropriate, the services specified in the State Plan and the PACE benefit package.

B. The PACE benefit package for all participants, regardless of the source of payment, shall include the following:

(1) All Medicaid-covered services, as specified in the State Plan;

(2) Multidisciplinary assessment and treatment planning;

(3) Social work services;

(4) Nutritional counseling;

(5) Recreational therapy;

(6) Certain meals;

(7) Medical specialty services;

(8) Prosthetics, orthotics, corrective vision devices, such as eyeglasses and lenses, hearing aids, dentures, and repair and maintenance of these items;

(9) Assisted living; and

(10) Other services determined necessary by the multidisciplinary team to improve and maintain the participant's overall health status.

C. For access, including access to emergency services, the PACE provider shall comply with 42 CFR § 460.100.

Md. Code Regs. 10.09.44.09

Regulations .09 adopted as an emergency provision effective November 1, 2002 (29:25 Md. R. 1979); adopted permanently effective April 28, 2003 (30:8 Md. R. 540)