Frequently Asked Questions

What is a PACE Program?
PACE (Program of All-Inclusive Care for the Elderly) is a national managed care program aimed at keeping older adults who qualify for nursing-home level of care living independently and safely at home. PACE programs coordinate and offer a wide range of services including preventative, primary care, acute, and long-term care services. Most often there is no cost to the participant.
Why enroll in a PACE program?
Enrolling in a PACE program enables participants to enjoy the comforts of home while receiving needed care and supervision during the day. PACE removes many of the barriers that individuals struggle with when trying to live in their own homes. The program is built on the belief that older adults with chronic care needs are better served in the community, when possible.
Who is eligible for PACE?
To qualify for PACE, an individual must be 55 years of age or older; able to live safely at home in your community with support; qualify for nursing facility level of care as determined by your state, and live in a PACE program service area. If you are eligible for Medicaid, there are no monthly premiums, deductibles, or copayments for prescriptions, services, or care authorized by your PACE team.
How much does it cost?

Once enrolled in PACE, there are no deductibles, copays, or benefit limits for any prescription medications, medical care, or services approved by your PACE care team. How much you pay is determined by your financial situation. If you qualify for Medicaid, or are dually eligible for Medicaid and Medicare, you pay no premium for the PACE program. To learn more contact our PACE care team at 855.801.2653 TTY: 711.

How to I enroll in a PACE Program?

Once eligibility is determined, an Enrollment Agreement is completed and signed. Enrollment in PACE is always voluntary and takes place on the first of the month. Contact our PACE experts to find out if you qualify and learn more about PACE.

What can I expect after I enroll?
Your PACE care team will conduct a comprehensive assessment of your medical, functional, cognitive, physchsocial, and nutritional needs. From there your Personal Care Plan will be created to outline specific goals and interventions to address your needs and preferences.
What services are provided by PACE?

PACE programs provide participants with ongoing needs along a broad continuum of care. These services include medical, nursing, and personal care, as well as physical, occupational and recreational therapy. Meals and nutritional counseling promote wellness and many forms of healing. Social services are provided to help participants and support their caregivers and family members.

Other services include:

Adult Day Care

Dentistry

Emergency Services

Home Care

Hospital Care

Laboratory / X-ray Services

Meals

Medical Specialty Services

Nutritional Counseling

Nursing Home Care

Occupational Therapy

Physical Therapy

Prescription Drugs

Primary Care

Recreational Therapy

Social Services

Social Work Counseling

Transportation

Are doctors available at the center?
Each PACE program has a team of professionals on staff providing medical care and therapeutic services as needed. A medical director guides the program and oversees the primary care providers and other medical providers. PACE primary care providers become familiar with the history, needs, and preferences of each participant.
What if I need to see a specialist in the community?
Your PACE care team will coordinate all of your medical care. If you need to see a specialist, your team will authorize and schedule the appointment. PACE will provide transportation to your appointments in the community and to all services and activities at the PACE center.
Does anyone live at the PACE center?
No. PACE is designed to support you so that you can live independently in your home. Though PACE centers are resopnsible for your care 24/7, our PACE centers are only open Monday – Friday during normal business hours.
What happens if a PACE program is not for me?
PACE participants may voluntarily disenroll from the program for any reason. Those with Medicare or Medicaid will be assisted in returning to their former health care coverage. A participant will never be disenrolled due to changes in health status.
What if I need a higher level of care?

If a PACE participant needs nursing home care, hospitalization, or hospice care, the PACE program continues to coordinate the participant’s care. While all PACE participants must be certified as needing nursing home level of care, only a small percentage of PACE participants nationwide live in nursing homes.

What is Nursing Home Level of Care?
Nursing home level of care” is a PACE eligibility rule that shows what help is necessary to stay safe at home. It generally refers to needing support with health and daily tasks. Each state has its own requirements for what determines nursing home level of care.

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Connect With a Senior Care Expert

We strive to be accessible to older adults and their families, caregivers, healthcare providers and our future team members. Please complete the form below or call us at 855.801.BOLD (2653) TTY: 711. You can also view answers to frequently asked questions on our FAQs page.

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