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42 CFR § 460.6 - Definitions.

---
identifier: "/us/cfr/t42/s460.6"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 460.6 - Definitions."
title_number: 42
title_name: "Public Health"
section_number: "460.6"
section_name: "Definitions."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "E"
subchapter_name: "PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)"
part_number: "460"
part_name: "PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302, 1395, 1395eee(f), and 1396u-4(f)."
regulatory_source: "64 FR 66279, Nov. 24, 1999, unless otherwise noted."
cfr_part: "460"
---

# 460.6 Definitions.

As used in this part, unless the context indicates otherwise, the following definitions apply:

*Contract year* means the term of a PACE program agreement, which is a calendar year, except that a PACE organization's initial contract year may be from 19 to 30 months, as determined by CMS, but in any event will end on December 31.

*Medicare beneficiary* means an individual who is entitled to Medicare Part A benefits or enrolled under Medicare Part B, or both.

*Medicaid participant* means an individual determined eligible for Medicaid who is enrolled in a PACE program.

*Medicare participant* means a Medicare beneficiary who is enrolled in a PACE program.

*PACE* stands for programs of all-inclusive care for the elderly.

*PACE center* is a facility which includes a primary care clinic, and areas for therapeutic recreation, restorative therapies, socialization, personal care, and dining, and which serves as the focal point for coordination and provision of most PACE services.

*PACE organization* means an entity that has in effect a PACE program agreement to operate a PACE program under this part.

*PACE program* means a program of all-inclusive care for the elderly that is operated by an approved PACE organization and that provides comprehensive healthcare services to PACE enrollees in accordance with a PACE program agreement.

*PACE program agreement* means an agreement between a PACE organization, CMS, and the State administering agency for the operation of a PACE program.

*Participant* means an individual who is enrolled in a PACE program.

*Service,* as used in this part, means all services that could be required under § 460.92, including items and drugs.

*State administering agency* means the State agency responsible for administering the PACE program agreement.

*Trial period* means the first 3 contract years in which a PACE organization operates under a PACE program agreement, including any contract year during which the entity operated under a PACE demonstration waiver program.

[64 FR 66279, Nov. 24, 1999, as amended at 71 FR 71334, Dec. 8, 2006; 86 FR 6131, Jan. 19, 2021; 88 FR 22344, Apr. 12, 2023]