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

Description:

The Program of All-Inclusive Care for the Elderly (PACE) targets individuals who would otherwise qualify for Medicaid nursing home placement and provides them with a comprehensive array of home and community-based services at a cost less than nursing home care. Individuals who choose to enroll in PACE have both their medical and long-term care needs managed through a single provider.

In addition to services covered under Medicaid, the PACE project includes all services covered by Medicare. PACE is unique, however, in several respects. PACE providers receive both Medicare and Medicaid capitated payments and are responsible for providing the full continuum of medical and long-term care services. In addition, PACE sites receive an enhanced capitation payment from Medicare, beyond that of a traditional Medicare health maintenance organization. PACE also has a unique service delivery system, with many services being delivered through adult day care centers and case management provided by multi-disciplinary teams.

PACE Providers in Florida:

Program Eligibility:

To be eligible for PACE, an individual must:

• Be 55 years of age or older
• Live within the defined service area of the PACE Center
• Meet medical eligibility requirements as determined by CARES
• Be able to live safely in the community
• Be dually eligible for Medicaid and Medicare, or Medicaid only. There is also a private pay option with PACE, however this is not regulated by the State.

Other Helpful Program Links

• The Agency for Health Care Administration
• Centers for Medicare and Medicaid Services
• CMS PACE Fact Sheet
• CMS PACE Manual
• National PACE Association