PACE, the Program of All-inclusive Care for the Elderly, offers a benefit that combines medical care, long-term care and prescription drugs to help frail and disabled individuals age 55 and older live independently within the community. Eligibility is determined at the time of application and annually thereafter.
Individuals may have to pay the PACE centers monthly rate using private funds. Medicare eligible participants must apply for Medicare and get Medicare. PACE participants are not required to enroll in Medicaid.
The PACE center becomes your primary care provider's office. All your care has to be coordinated by the PACE team. You will be provided with a card once you are approved for PACE. The PACE center has a medical clinic that includes physician and nursing services. Some of the other services and supports available with prior approval are physical therapy, occupational therapy, speech therapy, personal care, nutritional counseling, recreational therapy, social activities and meals.
Other medically necessary services that cannot be provided at the PACE center or in your home, will be coordinated for you. PACE staff will schedule appointments for you and schedule transportation to your appointments, if needed. You will need to pay for unauthorized appointments and services. If approved, the services listed below can be provided, but are not limited to the following:.
An emergency is any condition that places your life in danger or causes permanent disability if not treated immediately. If you have an emergency, call or go directly to the nearest hospital emergency room. Take your PACE card with you. You do not need to call your PACE center first. PACE staff will assist you with any follow-up care that you need. The following are examples of emergencies:. You must contact your PACE center for all follow-up care. Do not return to the emergency room for follow-up care.
