42 CFR 460.102 - Interdisciplinary team.
(1) Establish an interdisciplinary team at each Pace center to comprehensively assess and meet the individual needs of each participant.
(2) Assign each participant to an interdisciplinary team functioning at the PACE center that the participant attends.
(b) Composition of interdisciplinary team. The interdisciplinary team must be composed of at least the following members:
(1) The interdisciplinary team is responsible for the initial assessment, periodic reassessments, plan of care, and coordination of 24 hour care delivery.
(i) Regularly informing the interdisciplinary team of the medical, functional, and psychosocial condition of each participant.
(iii) Documenting changes of a participant's condition in the participant's medical record consistent with documentation polices established by the medical director.
(e) Exchange of information between team members. The PACE organization must establish, implement, and maintain documented internal procedures governing the exchange of information between team members, contractors, and participants and their caregivers consistent with the requirements for confidentiality in § 460.200(e).
Title 42 published on 2014-10-01
no entries appear in the Federal Register after this date.