---
kind: "section"
citation: "42 C.F.R. § 460.60"
title: "42"
number: "460.60"
heading: "PACE organizational structure."
url: "https://uscodex.org/cfr/42/460.60"
---

# §460.60. PACE organizational structure.

- (a) **Program director.** The organization must employ, or contract with in accordance with [§ 460.70](/cfr/42/460.70.md), a program director who is responsible for oversight and administration of the entity.
- (b) **Medical director.** The organization must employ, or contract with in accordance with [§ 460.70](/cfr/42/460.70.md), a medical director who is responsible for the delivery of participant care, for clinical outcomes, and for the implementation, as well as oversight, of the quality improvement program.
- (c) **Organizational chart.**
  - (1) The PACE organization must have a current organizational chart showing officials in the PACE organization and relationships to any other organizational entities.
  - (2) The chart for a corporate entity must indicate the PACE organization's relationship to the corporate board and to any parent, affiliate, or subsidiary corporate entities.
  - (3) Except as provided in [paragraph (d)](#d) of this section, a PACE organization planning a change in organizational structure must notify CMS and the State administering agency, in writing, at least 14 days before the change takes effect.
- (d) **Change of ownership.** A PACE organization planning a change of ownership must comply with all requirements in [42 CFR part 422](/cfr/42/part422.md), [subpart L](/cfr/42/subpartL.md), and must notify CMS and the State administering agency, in writing, at least 60 days before the anticipated effective date of the change.

## Notes

### Amendments

[64 FR 66279, Nov. 24, 1999, as amended at 67 FR 61505, Oct. 1, 2002; 71 FR 71334, Dec. 8, 2006; 84 FR 25673, June 3, 2019]

### Authority

Authority: 42 U.S.C. 1302, 1395, 1395eee(f), and 1396u-4(f).

### Source

Source: 64 FR 66279, Nov. 24, 1999, unless otherwise noted.

### Amendments

[64 FR 66279, Nov. 24, 1999, as amended at 67 FR 61505, Oct. 1, 2002; 71 FR 71334, Dec. 8, 2006; 84 FR 25673, June 3, 2019]