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

Description:

The PACE model is a project within the Long-Term Care Community Diversion Pilot Project that 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.

Services or Activities:

In addition to services covered under the Long-Term Care Community Diversion Pilot Project, 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.

Administration

The PACE project is administered by the Department of Elder Affairs in consultation with the Agency for Health Care Administration. The PACE program, which previously operated as a federal demonstration project, 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 subsequently expanded to cover nearly 800 enrollees in four Florida counties.

Program Eligibility:

To be eligible for PACE, an individual must be age 55 or older be eligible for Medicare or Medicaid with income and assets up to the Institutional Care Program (ICP) level, and live in proximity to a PACE Center.

PACE Providers

PACE Providers Counties Served Website
Florida PACE Center Miami-Dade Not Available
Hope PACE Lee, Charlotte, Collier hopepace.org
Suncoast PACE Pinellas suncoastpace.org

Program Reports

Other Helpful Program Links


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