1. A. Except as limited or expanded by the PACE benefit package specified in the PACE program agreement, the PACE provider shall directly provide, arrange, purchase, or otherwise make available, as medically necessary and appropriate, the services specified in the State Plan and the PACE benefit package.

2. B. The PACE benefit package for all PACE participants, regardless of the source of payment, shall include the following:

   1. (1) All Medicaid-covered services, as specified in the State Plan;
   2. (2) Multidisciplinary assessment and treatment planning;
   3. (3) Social work services;
   4. (4) Nutritional counseling;
   5. (5) Recreational therapy;
   6. (6) Certain meals;
   7. (7) Medical specialty services;
   8. (8) Prosthetics, orthotics, corrective vision devices, such as eyeglasses and lenses, hearing aids, dentures, and repair and maintenance of these items;
   9. (9) Assisted living; and
   10. (10) Other services determined necessary by the multidisciplinary team to improve and maintain the PACE participant's overall health status.
3. C. For access, including access to emergency services, the PACE provider shall comply with 42 CFR §460.100.

Authority: Health-General Article, §2-104(b), 15-103, and 15-105, Annotated Code of Maryland

Effective date:

Regulations .01—.25 adopted as an emergency provision effective November 1, 2002 (29:25 Md. R. 1979); adopted permanently effective April 28, 2003 (30:8 Md. R. 540)

Regulation .01B amended effective October 14, 2013 (40:20 Md. R. 1652); August 19, 2024 (51:16 Md, R. 742); July 21, 2025 (52:14 Md. R. 713)

Regulation .03 amended effective January 29, 2018 (45:2 Md R. 68); July 21, 2025 (52:14 Md. R. 713)

Regulation .04 amended effective July 21, 2025 (52:14 Md. R. 713)

Regulation .05A, B amended effective July 21, 2025 (52:14 Md. R. 713)

Regulation .06 amended effective July 21, 2025 (52:14 Md. R. 713)

Regulation .07 amended effective July 21, 2025 (52:14 Md. R. 713)

Regulation .09B amended effective July 21, 2025 (52:14 Md. R. 713)

Regulation .11E amended effective July 21, 2025 (52:14 Md. R. 713)

Regulation .12 amended effective July 21, 2025 (52:14 Md. R. 713)

Regulation .15 amended effective August 19, 2024 (51:16 Md, R. 742); July 21, 2025 (52:14 Md. R. 713)

Regulation .16A amended effective July 21, 2025 (52:14 Md. R. 713)

Regulation .18F amended effective July 21, 2025 (52:14 Md. R. 713)

Regulation .20A amended effective July 21, 2025 (52:14 Md. R. 713)

Regulation .21 amended effective August 19, 2024 (51:16 Md, R. 742); July 21, 2025 (52:14 Md. R. 713)

Regulation .22 amended effective July 21, 2025 (52:14 Md. R. 713)

Regulation .23 amended effective August 19, 2024 (51:16 Md, R. 742)

Regulation .23B amended effective July 21, 2025 (52:14 Md. R. 713)

Regulation .24C amended effective July 21, 2025 (52:14 Md. R. 713)