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

What makes someone eligible for PACE?

PACE is a set of comprehensive services for individuals who are 55 years of age or older. The individual must be certified for nursing home care and live in the service area of the PACE organization. At the time of enrollment, the individual must be able to live in a community setting without putting his or her health or safety in danger and must agree to all of the terms and conditions of participation in the PACE program.

 

As with all Medicaid-funded services, there are also financial eligibility criteria.

 

Services offered through PACE

• All Medicaid and Medicare covered services
• Primary Medical and Specialty Care
• Private Duty Nursing
• Social Work
• Personal Care
• In-Home Supportive Services
• Restorative Therapies
• Meals and Nutritional Counseling
• Transportation
• Recreational Therapy
• Hospitalization-Acute Inpatient Care
• Nursing Home Care
• Prescription Drugs
• Laboratory Tests
• Prosthetics/Orthotics
• Durable Medical Equipment
• Corrective Vision Devices
• Hearing Aids
• Dentures

 

If you answer yes to all of the questions below, you may be eligible to participate in a PACE program in your area:

• Are you 55 years of age or older?
• Do you receive support from Medicare and/or Medicaid; or have you been pre-screened and determined to be eligible to live in a nursing home??
• Do you live in the one of the following PACE service areas: Hampton Roads Area,  Newport  News, Poquoson, the southeastern portion of York County, Lee, Scott, Wise, Norton, Tazewell, Buchanan, Dickenson, and Russell counties, Richmond City, Chesterfield, Goochland, Hanover, Powhatan, New Kent, Henrico, Bedford, and Campbell Counties, Lynchburg City, Nelson or Amherst counties?
• Is participation in PACE critical to help you live in your home and community instead of a nursing home?

 

Next Steps

If you think that you might qualify for PACE, contact your local department of social services or local health department. To find this information on-line, visit the VirginiaNavigator website, select “Departments of Social Services” or “Health Department,” and put in your zip code. After you contact your department, a nurse and social worker, who are members of a pre-admission screening team, will schedule a time to meet with you and assess your needs.  In addition, this team will connect you to the local department of social services and the PACE program in your area so that you can see if you meet additional enrollment requirements. If you are in the hospital, a discharge planner may be able to arrange a screening for you. To view the assessment instrument (the Uniform Assessment Instrument or “UAI”) that will be used during your screening, look on-line at the Department of Medical Assistance Services.

 

For more information about this and other Medicaid programs, look on-line at the Department of Medical Assistance Services.

 

 

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