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PACE Program Eligibility
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Participants must be:
- Able to live in the community safely as assessed by the PACE care team
- Live in a specific defined service area
- At least age 55
- Meet the state nursing home level of care requirements
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PACE is a model program of care for the frail elderly population who are at risk for nursing home placement. By providing a full range of health, social services and in-home assistance to this population, PACE helps elderly individuals age in-place and benefit from the quality, integrated care that defines PACE.
PACE, with its unique capitated funding model saves money in state and federal Medicaid and Medicare expenditures. Most importantly, PACE addresses the growing population of aging with a care model that lets individuals stay in their own homes and communities and maximizes quality of life.
The traditional PACE model uses an adult day/health center as the focal point for providing services. In addition to housing the supportive services an individual requires to maintain health and social function, this day/health center also houses an extensive interdisciplinary team including primary care physicians, therapists, and nurses. All acute and long-term care services are directly provided by or coordinated through this interdisciplinary team. Because of the capitated payments to the provider, incentives exist for the PACE provider to create a care plan based on the clients existing needs and not based on Medicare and Medicaid fee-for service reimbursement schedules.
CMS and individual states are currently working on approving Rural PACE programs. In these models there is less emphasis on the Day Center model of care and more emphasis on meeting the needs of the rural participant through services provided by existing systems and care programs.
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Total Solutions Services Include:
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- Feasibility studies
- Demographic analysis
- Market analysis
- Financial analysis
- Strategic planning
- Organizational readiness
- Legislative promotion
- CMS and state compliance
- Educational support and training
- Marketing and enrollment materials
- PACE implementation
- Contracted management
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Total Solutions will help the potential PACE provider understand this model and determine how to implement it.
For more information contact:
Ann Olson
Total Solutions
200 East Ninth Avenue
Denver, CO 80203
303.869.4739
1.877.277.6163
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