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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.

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.

PACE Providers in Florida

PACE Providers Counties Served Phone Number Website
Hope PACE Charlotte, Collier, Lee 855-454-3102 www.HopePace.org
Florida PACE Miami-Dade 305-751-7223 www.MiamiJewishHealthSystems.org
Palm Beach PACE Palm Beach 561-868-2999 www.PalmBeachPace.org
Suncoast PACE Pinellas 727-289-0062 www.SuncoastPace.org

Administration

PACE is administered by the Department of Elder Affairs in consultation with the Agency for Health Care Administration. This program previously operated as a federal demonstration project, but was given regular Medicaid and Medicare service status in the federal Balanced Budget Act of 1997. As a result, states can now implement PACE projects without a federal waiver. In 1998, the Florida Legislature authorized financing and contracting for a PACE site as part of the Community Diversion Project. The program has expanded over the years and currently has over 900 participants within the six Florida counties. In 2014, the Florida Legislature authorized funding for an additional 600 slots divided between the existing programs and also including funding for a potential new site in Broward County.

Program Reports

Other Helpful Program Links


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