The Basics of the Programs of All-Inclusive Care for the Elderly (PACE)
Many of those enrolled in Medicaid or Medicare also qualify for the PACE program. Short for Programs of All-Inclusive Care for the Elderly, PACE is a program that provides additional long-term health services and support to seniors. At the heart of the PACE program is a team of interdisciplinary health professionals whose goal is to provide individual coordinated care to elderly enrollees. In fact, the PACE comprehensive service package gives many participants the opportunity to receive medical care at home rather than a nursing home.
PACE has a capped financing design. This means PACE and its providers are able to deliver any and all services the participant needs instead only providing services with Medicaid reimbursement. Services that are not reimbursable under Medicare and Medicaid fee-for-service plans are not limited to PACE members. Furthermore, the model of care that PACE provides is an established provider in the Medicare program, allowing states to provide these services to those with Medicaid as a state service option.
Any individual can join PACE as long as they meet a certain list of requirements. They must be age 55 or older, live in an area that is served by a PACE organization, be eligible for nursing home care, and be able to safely live within their community. After enrolling in the program, PACE becomes the sole provider of these services for those already enrolled in Medicare and Medicaid.
PACE provides a number of different benefits to its participants. These include, but are not limited to: primary care, hospital care, medical specialty services, prescription drugs, nursing home care, adult day care, recreational therapy, meals, dentistry, and nutritional counseling. It basically offers the same benefits that Medicaid and Medicare do.
Additional services can also be offered by PACE if they are deemed necessary to an individual’s health. Adult day health centers along with additional in-home and referral services are provided when needed.
Furthermore, those that need end-of-life care receive the necessary medical, pharmaceutical, and psychosocial services from PACE. However, those wishing to elect the hospice benefit must first voluntarily dis-enroll from PACE.
Find a PACE Center
PACE programs and centers are available in all fifty states. More information on finding a PACE Center near you can be found on the PACE page of the Medicaid website. For frequently asked questions, helpful documents, or more information you can also visit here.
PACE is a simply wonderful program for the elderly. It helps provide for the long-term health and medical needs of those that are eligible for nursing home care, enabling them to safely live as part of the community. While it is similar to Medicare and Medicaid, PACE offers a number of additional programs and benefits, including comprehensive in-home coverage. If you or someone you know needs long-term medical care, the Program of All-Inclusive Care for the Elderly is a great starting point for your research.
About the Author: Victoria K. Stickley is a copywriter, editor, and senior content manager based in the Dallas area. Her graduate education in counseling and research has helped immensely in her writing as well as the care she provides for her grandparents. She currently provides support and resources to senior care websites as she learns and experiences senior care first-hand.