What is the PACE Program?
PACE Overview:
- PACE is a joint Medicare and Medicaid program that provides coordinated medical and social services to older adults who need a nursing-home level of care but wish to remain in their homes or communities. It aims to improve the quality of life for participants by offering a wide range of services tailored to individual needs.
Eligibility Criteria:
- Age and Medical Need: To qualify for PACE, you must be 55 years or older and certified by your state as needing a nursing home level of care.
- Residence: You must live in a PACE service area, which is determined by your state. PACE programs are available in many, but not all, areas of the United States.
- Ability to Live Safely: You must be able to live safely in the community with the help of PACE services.
Services Provided by PACE:
- PACE offers a comprehensive range of medical and social services, including:
-- Primary and specialty medical care
-- Nursing services
-- Social services and case management
-- Physical, occupational, and recreational therapy
-- Prescription drugs
-- Nutritional counseling and meals
-- Personal care and home health services
-- Transportation to PACE centers and medical appointments
-- Hospital and nursing home care when necessary
PACE Centers:
- PACE participants typically receive most of their care at PACE centers, which provide a range of services in one location. These centers include adult day health programs, medical clinics, and therapy facilities. PACE staff coordinate care, ensuring that all health and social needs are met.
Cost of PACE:
- PACE is funded by Medicare and Medicaid, and the costs depend on your eligibility for these programs. If you qualify for both Medicare and Medicaid, you will not pay PACE premiums. If you do not qualify for Medicaid, you will pay a monthly premium for the long-term care portion of PACE and a premium for Medicare Part D (prescription drug coverage).
Benefits of PACE:
- Comprehensive Care: PACE provides all the care and services covered by Medicare and Medicaid, as well as any additional medically necessary care.
- Personalized Care: Care plans are tailored to meet the specific needs of each participant, promoting independence and improving quality of life.
- Team Approach: An interdisciplinary team of healthcare professionals collaborates to develop and implement individualized care plans.
- Community-Based: PACE allows participants to remain in their homes and communities, avoiding the need for institutional care.
Enrollment Process:
- To enroll in PACE, you must contact your local PACE organization. They will assess your eligibility and help you understand the services available. If eligible, you will work with the PACE team to develop a care plan that meets your needs.