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US · guidance

CMS Pub. 100-11, ch. 6, § 10

Basic Rule

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

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
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