§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.