Program of All-Inclusive Care for the Elderly (PACE)

The Program of All-Inclusive Care for the Elderly (PACE) is coordinated by an interdisciplinary team of healthcare professionals, aiming to provide a wide range of services.

Services

• Adult Day Health Care
  • Provides centralized medical care, rehabilitation, social activities, and meals. Transportation to and from the PACE center is typically included.
• Home Care
  • Assistance with daily activities and personal care at home.
• Hospital Care
  • PACE covers hospital stays and helps with care during and after hospitalization, whenever necessary.
• Nursing Home Care
  • If health declines to the point where nursing home care is necessary, PACE covers and coordinates nursing services, ensuring continuity of care.
• Primary Care
  • Usually includes regular doctor and nursing services, check-ups, and ongoing health monitoring.
• Other Medically Necessary Services
  • PACE covers any other services deemed necessary by the team to improve and maintain overall health and allow a safe living. 

Eligibility

• Applicants must be 55+.
• Must be within the service area of the PACE organization.
• A nursing home level of care is required. 
• Applicants should not be enrolled in a separate Medicare Advantage Plan, Medicare Prepayment Plan, the Medicare Hospice Benefit, or Medicare prescription drug plan. 

Financial Eligibility

• Medicaid Eligible
  • Eligible Medicaid beneficiaries do not have to pay for the long-term care portion of the PACE benefit. 
• Medicare Only
  • For Medicare beneficiaries without Medicaid, payment for a monthly premium is required for long-term care and Medicare Part D. Co-payments and deductibles are not feasible.