Elderly Care – PACE stands for Program of All-Inclusive Care for the Elderly. PACE is a unique and optional benefit that features extensive medical and social services for participants of Medicare or Medicaid. PACE focuses only on elderly people, who are frail enough to meet their State’s standards for nursing home care. The services provided by PACE can be used at an adult day health center, nursing home, or impatient facilities. The extensive service package permits most patients to continue living at home while receiving services. The participants needs are assessed by a team of doctors, nurses and other health professionals that deliver all services which are arranged into a health care plan. BE AWARE that PACE is only available in States which have chosen to offer PACE under Medicaid.
Are you eligible for Elderly Care?
If you are eligible and wish to participate you must voluntarily enroll. To be eligible for PACE you must:
- Be at least 55 years old.
- Live in the PACE service area.
- Be screened by a team of doctors, nurses, and other health professionals as meeting that state’s nursing facility level of care.
- At the time of enrollment, be able to safely live in a community setting.
PACE provides all of the medical, social and rehabilitative services their enrollees need to preserve or restore their quality of life and to remain in their homes and communities. Medicare and Medicaid services are included in the PACE service package. The PACE center must provide minimum services, which include, care services, social services, restorative therapies, personal care/supportive services, nutritional counseling, recreational therapy, and meals. All these services are available 24 hours a day, 7 days a week, 365 days a year.
Normally these services are implemented in a health center setting, but can provide in-home and other referral services that enrollees may need as well. These services include medical specialists, laboratory and other diagnostic service, hospital and nursing home care.
The needs of an enrollee is determined by PACE’s medical team of care providers. PACE team include:
- Primary care physicians and nurses.
- Physical, occupational, and recreational therapists.
- Social workers.
- Personal care attendants.
Frequent contact between the PACE team and their enrollees is common. This frequent contact allows the PACE team to notice changes in their enrollee’s condition and react according to those changes.
How do I Pay for Elderly Care?
PACE receives a fixed monthly payment for every enrollee from Medicare and Medicaid. The monthly payments are the same throughout the contract year, despite the services an enrollee may need. Depending on your eligibility for Medicare and Medicaid an enrollee may have to pay a monthly premium.
If you are interested in more information on PACE organizations nationwide, visit http://www.cms.hhs.gov
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