US · guidance
CMS Pub. 100-11, ch. 6, § 10
Basic Rule
The PACE benefit package is required to include for all participants, regardless of source
of payment, all Medicare covered services, all Medicaid covered services as specified in
the State’s approved Medicaid plan, and any other services determined necessary by the
IDT to meet the participant’s needs and which improve or maintain the participant’s
overall health status. IDT Assessment is the foundation for provision of participant–
specific, appropriate services. See Chapter 8 for composition and description of the scope
of IDT responsibilities.
The PACE organization must establish and implement a written plan to provide care that
meets the needs of its participants across all care settings on a 24-hour basis each day of
the year. The PACE organization must furnish comprehensive medical, health, and social
services that integrate acute and long-term care. These services must be furnished at least
in the PACE center, the participant’s home, and inpatient facilities such as acute and long
term care hospitals and nursing/rehabilitation facilities. The PACE organization must not
discriminate against any participant in the delivery of required PACE services based on
race, ethnicity, national origin, religion, sex, age, sexual orientation, mental or physical
disability, or source of payment.
[42 CFR §§ 460.92, 460.98(a) and (b)]
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
90e509d350d35d776e5564707c3ea2ad973ad495b3f76cc6f72efecf271ad863
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.