RS 40:2120.63

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RS 40:2120.63

§2120.63. Definitions

For the purposes of this Part, the following terms shall have the following meanings:

(1)"Department" means the Louisiana Department of Health or any agency or office designated by the secretary to administer the provisions of this Part.

(2)"License" means a license issued by the department to a PACE provider.

(3)"PACE enrollee" means a recipient or participant that has been approved by Medicare or the Louisiana Medicaid Program or is otherwise qualified to enroll as a PACE participant for PACE services provided by an approved and licensed PACE provider.

(4)"PACE services" means those healthcare and related services approved by the Centers for Medicare and Medicaid Services for Medicare and Louisiana Medicaid programs as PACE services, including but not limited to primary care, social work services, restorative therapies, personal care and support services, nutrition counseling, recreational therapy, transportation, meals, medical specialists services, laboratory tests, x-rays, durable medical equipment, and other services determined necessary by an interdisciplinary team to improve and maintain the participant's overall health status.

(5)"Program for All-Inclusive Care of the Elderly

(PACE)provider" means a facility, place, center, agency, person, institution, corporation, partnership, unincorporated association, group, organization, or other legal entity that meets the requirements of 42 CFR 460 et seq. and is approved and enrolled or intends to be approved and enrolled as a PACE organization by the Centers for Medicare and Medicaid Services for the Medicare and Louisiana Medicaid programs to provide services to Medicare and Medicaid recipients, or other qualified individuals, who choose PACE services.

(6)"Secretary" means the secretary of the Louisiana Department of Health or his designee.

(7)"Standards" means policies, procedures, rules, and other guidelines or standards of current practice contained in this Part, in addition to those rules and standards promulgated by the department for the licensing and operation of PACE providers.

Acts 2024, No. 444, §1, eff. June 3, 2024.