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PACE

 

Program for the All-Inclusive Care for the Elderly (PACE):
Government and Other Information and Resources

Government Resources:

  • PACE 4 States (Medicaid.gov)
    Information for State Medicaid Agencies and State Administering Agencies in fulfilling state-level responsibilities for operating PACE programs.
  • PACE Benefits (Medicaid.gov)
    PACE benefits include, but are not limited to, all Medicaid and Medicare covered services. PACE also includes all other services determined necessary by the health professionals team to improve and maintain an individual’s health. PACE programs provide services primarily in an adult day health center and are supplemented by in-home and referral services in accordance with the enrollee’s needs.
  • Paying for Long-Term Care (Medicare.gov)
    The Programs of All-inclusive Care for the Elderly (PACE) might be able to pay for your long-term care needs. It is a new benefit that features a comprehensive service delivery system and integrated Medicare and Medicaid financing. PACE combines medical, social, and long-term care services for frail people. For most participants, the comprehensive service package permits them to continue living at home while receiving services rather than be institutionalized. PACE is available only in states that have chosen to offer it under Medicaid. If you are frail enough to meet your state’s standards for nursing home care, you might be eligible.
  • Program of All-Inclusive Care for the Elderly (PACE) (Medicare.gov)
    PACE is an optional benefit under both Medicare and Medicaid that focuses entirely on older people, who are frail enough to meet their State's standards for nursing home care. It features comprehensive medical and social services that can be provided at an adult day health center, home, and/or inpatient facilities. For most patients, the comprehensive service package permits them to continue living at home while receiving services, rather than be institutionalized.
  • Programs of All-Inclusive Care for the Elderly Manual (DHHS and CMS) – June 2011
    PACE is a capitated benefit authorized by the Balanced Budget Act of 1997 (BBA) that features a comprehensive service delivery system and integrated Medicare and Medicaid financing. The BBA established PACE as a permanent entity within the Medicare program and enables states to provide PACE services to Medicaid beneficiaries as a state plan option. Operationally, the PACE program is unique as a three-way partnership between the Federal government, the State, and the PACE organization. This is an initial release of Pub. 100-11, PACE Manual. The PACE manual provides further guidance on the PACE program as outlined in 42 CFR Part 460, the regulation implementing PACE statutory requirements.
  • Quick Facts About Programs of All-Inclusive Care for the Elderly (Medicare.gov)
    PACE is a Medicare program and Medicaid state option that provides community-based care and services to people age 55 or older who otherwise would need a nursing home level of care. PACE was created as a way to provide you, your family,caregivers, and professional health care providers flexibility to meet your health care needs and to help you continue living in the community.

Other Resources:

  • List of State Medicare PACE Programs (Paying for Senior Care)
    Table provided contains a state-by-state listing of Medicare PACE (Program of All-Inclusive Care for the Elderly) and Medicare LIFE providers. Note that not all states have PACE / LIFE Programs.

  • National PACE Association
    Exists to advance the efforts of Programs of All-inclusive Care for the Elderly (PACE).  PACE programs coordinate and provide all needed preventive, primary, acute and long term care services so that older individuals can continue living in the community.

  • PACE 4 You
    If you have an aging loved one, you know what it’s like to drive your loved one from appointment to appointment; to manage all of their medications; to deal with doctors who don’t talk to one another; and you struggle with leaving your loved one at home, alone and without the supervision, company and interaction they want and need. It doesn’t have to be this way. Thousands of families across America have found a different and better kind of care for their aging loved ones – PACE. And what these PACE families have experienced is a program that provides and coordinates all the types of care your loved one needs, so you don’t have to place them in a nursing home.

  • PACE Yourself (About.com)
    The Program of All-Inclusive Care for the Elderly (PACE) is a comprehensive care delivery system that allows those who would be traditionally thought of as nursing home residents to continue living at home while receiving services. It provides an alternative to nursing homes. This model of care will become increasingly important as the concept of medical homes evolves and the emphasis for care continues to shift away from more acute settings.

  • Program of All-Inclusive Care for the Elderly (Michigan Dept. of Community Health)
    PACE is a capitated benefit authorized by the Balanced Budget Act of 1997 that features a comprehensive service delivery system and integrated Medicare and Medicaid financing for frail, elderly individuals that meet Long Term Care level of care criteria. For most PACE participants, the comprehensive service package permits them to continue living at home while receiving services rather than being institutionalized.

Articles and Publications:

  • Community and In-Home Models
    PACE and state-based payment for in-home supportive services.
  • Health Care Delivered as it Should Be (New York Times – 1/8/09)
    Hardly anyone has a good word to say about this country’s fragmented system for delivering and paying for long-term care, with one exception: the PACE program, which many experts laud as long-term care done right.
  • PACE Serves as Example of What Works in Long-term Care (McKnight's – 9/25/12)
    As the nation grapples with the best way to create a more collaborative system that works for patients and is financially sustainable,  long term care is providing effective models and lessons. At the same time, we are working with government to break down  barriers to what we believe can lead to significant growth for those effective, collaborative solutions.  I'm talking specifically about PACE, a managed care program that has served long term care patients for 25 years.  PACE, the Program for the All-Inclusive Care for the Elderly, is a coordinated care model that improves both the patient's health and Medicaid's bottom line. Focused on the most costly and complex individuals to care for – patients eligible for Medicare and Medicaid who are qualified to live in a nursing home, even if they don't — the PACE model brings together nurses, physicians, social workers, therapists and other caregivers to create a coordinated care plan for each patient. The goal is to keep the patient healthy and at home while assisting with the activities of daily life, such as washing, dressing, eating and socializing. Reimbursement is provided under a capitated, managed care model.