Section 22.1. Scope and authority

Section 22.2. Definitions

Section 22.11. General payment principles

Section 22.21. General claimant eligibility policy

Section 22.22. Residence provisions

Section 22.23. Age provisions

Section 22.24. Income provisions

Section 22.25. Other third-party benefits

Section 22.26. PACE eligibility

Section 22.31. General provisions

Section 22.32. Initiating the application process

Section 22.33. Responsibilities of the applicant in the application process

Section 22.34. Authorized agent

Section 22.35. Certification

Section 22.36. Authorization

Section 22.37. Right of appeal

Section 22.41. General provisions

Section 22.42. Responsibilities of the claimant in the eligibility redetermination process

Section 22.43. Authorized agent

Section 22.44. Certification

Section 22.45. Authorization

Section 22.46. Right of appeal

Section 22.51. Responsibilities regarding eligibility

Section 22.52. Use of the PACE identification card

Section 22.61. Conditions of provider eligibility

Section 22.62. Conditions of provider participation

Section 22.63. Other provisions for providing services by mail

Section 22.71. False or fraudulent claims by applicants and claimants

Section 22.72. Prohibited acts and criminal penalties

Section 22.73. Administrative actions and penalties

Section 22.74. Claimant right of appeal

Section 22.81. Utilization control

Section 22.82. False or fraudulent claims by providers

Section 22.83. Prohibited acts and criminal penalties

Section 22.84. Administrative actions and penalties

Section 22.85. Re-enrollment of providers whose agreements have been terminated

Section 22.86. Provider right of appeal

Section 22.91. Applicant or claimant appeals

Section 22.92. Notification of adverse action and right to appeal

Section 22.93. Filing of appeals

Section 22.94. Informal handling of appeals

Section 22.95. Formal appeals and hearings

Section 22.101. Provider appeals

Section 22.102. Notification of adverse action and right to appeal

Section 22.103. Filing of appeals

Section 22.104. The handling of appeals

Section 22.111. Forms, handbooks and other materials