---
kind: "section"
citation: "42 C.F.R. § 460.92"
title: "42"
number: "460.92"
heading: "Required services."
url: "https://uscodex.org/cfr/42/460.92"
---

# §460.92. Required services.

- (a) The PACE benefit package for all participants, regardless of the source of payment, must include the following:
  - (1) **All Medicare-covered services.**
  - (2) **All Medicaid-covered services, as specified in the State's approved Medicaid plan.**
  - (3) Other services determined necessary by the interdisciplinary team to improve and maintain the participant's overall health status.
- (b) Decisions by the interdisciplinary team to provide or deny services under [paragraph (a)](#a) of this section must be based on an evaluation of the participant that takes into account:
  - (1) The participant's current medical, physical, emotional, and social needs; and
  - (2) Current clinical practice guidelines and professional standards of care applicable to the particular service.

## Notes

### Amendments

[86 FR 6132, Jan. 19, 2021]

### 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

[86 FR 6132, Jan. 19, 2021]