HOW DO PEOPLE QUALIFY FOR PACE?
In order to be eligible for PACE a person must be aged 55 or older, certifed by the state to need nursing home care, and live in an area served by a PACE program.
ARE PRESCRIPTION DRUGS COVERED?
Yes. All prescription and non-prescription drugs deemed necessary by the PACE interdisciplinary care team are paid for by the PACE program.
ARE PEOPLE WHO DO NOT QUALIFY FOR MEDICAID ELIGIBLE FOR PACE ENROLLMENT?
Yes. If a person does not qualify for Medicaid, he or she is responsible for the portion of the monthly premium Medicaid would pay. PACE staff can help determine a person’s Medicaid eligibility.
HOW DO PEOPLE GET TO THE DAY HEALTH CENTER?
PACE programs provide transportation to the day health center. Transportation is a key part of the PACE beneft. Transportation is not only provided between the home and the day health center, but also to appointments with specialists and other activities.
DO PACE PARTICIPANTS ATTEND THE DAY HEALTH CENTER EVERY DAY?
No. On average, PACE participants attend the day center three times a week. Day center attendance is based on individual needs and can range from once a week, or every month, to several days a week, as needed.
WHAT HAPPENS IF A PACE PARTICIPANT NEEDS NURSING HOME CARE?
The goal of PACE is to keep participants out of a nursing home as long as possible. If at some point it is in the best interest of the participant to receive care in a nursing home, PACE will pay for the care and the supervision of the
interdisciplinary team will continue.
WHAT HAPPENS IF A PERSON WANTS TO LEAVE PACE?
A PACE participant is free to disenroll from PACE and resume their benefts in the traditional Medicare and Medicaid programs at any time.