Services for All Members. A. Health Education
Services for All Members. All members of Partnership and PACE, who are at the nursing home level of care, shall receive integrated acute, primary and long-term care services pursuant to this contract, state and federal regulations.
Services for All Members. All members of PACE shall receive integrated acute, primary and long-term care services pursuant to this contract, state and federal regulations. The PO shall promptly provide or arrange for the provision of all health and long-term care services, consistent with the member-centered plan described in Article V.C., Assessment and Member-Centered Planning Process. Coverage of services identified in each individual member’s MCP must be consistent with the definition of “Services Necessary to Support Outcomes” in Article I, Definitions. PACE services include all the following, regardless of the source of payment: All Medicare-covered items and services; The home and community-based waiver services defined in AddendumVII.A.; All Medicaid State Plan Services identified in Addendum VIII.B.; Any cost-effective health care services the PO substitutes for a service in the Medicaid State Plan identified in Addendum VIII.B.; and Other services determined necessary by the interdisciplinary team to improve and maintain the participant’s overall health status. Requirements Related to Delivery of Specific Services in PACE Provision of Abortions, Hysterectomies and Sterilizations The PO shall comply with the following state and federal compliance requirements for the services listed below: Abortions must comply with the requirements of Wis. Stat. § 20.927 and with 42 C.F.R. § 441 Subpart E - Abortions. Hysterectomies and sterilizations must comply with 42 C.F.R. § 441 Subpart F - Sterilizations. Sanctions in the amount of ten thousand dollars ($10,000.00) may be imposed for non-compliance with the above compliance requirements. The PO must abide by Wis. Stat. § 609.30. The PO must comply with all record keeping and retention requirements for abortions, hysterectomies and sterilizations.
Services for All Members. All members of PACE shall receive integrated acute, primary and long-term care services pursuant to this contract, state and federal regulations.
Services for All Members
