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CMS Pub. 100-11, ch. 5, § 20.5

Informing Female Participants

activein force · 2026-08-25 – presentas-observed

The Interdisciplinary Team (IDT) physician or alternative IDT member identified in the

organization’s care planning policy must inform female participants that they are entitled

to choose a qualified specialist for women’s health services to provide routine or

preventive women’s health services from the PACE organization’s network. In some

PACE organizations, the physician makes this notification during intake, the enrollment

process, or at the initial physician assessment. If notification has not been made prior to

development of the care plan, 42 CFR § 460.104(b) requires the IDT team to make this

notification during the care plan development or when the proposed care plan is

subsequently presented to the participant and/or care giver for discussion, revision, and

incorporation of the participant’s preferences.

[42 CFR § 460.104(b); 71 FR 71296 (Dec. 8, 2006)]

History

(Rev. 2, Issued: 06-09-11; Effective: 06-03-11; Implementation: 06-03-11)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
35f6ded66785b0401b8d6b62beaf6e6d5d1853630e8359f665884c17f1da5b3e
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