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Program of All-Inclusive Care for the Elderly (PACE)The Program of All-Inclusive Care for the Elderly (PACE) is a capitated benefit authorized by the Balanced Budget Act of 1997 (BBA) that features a comprehensive service delivery system and integrated Medicare and Medicaid financing for frail, elderly individuals that meet Long Term Care (LTC) level of care criteria.
For most PACE participants (enrollees), the comprehensive service package permits them to continue living at home while receiving services rather than being institutionalized. Participants must meet the following criteria:
The PACE organization receives referrals from providers in the community who believe a person meets Medicaid eligibility and LTC eligibility criteria.
The PACE organization will assist a person in applying for Medicaid and with initial asset and income assessments. The PACE organization will also help the person obtain required information and verification.
The PACE organization is responsible for performing the medical/functional assessment that determines if a person meets the Medicaid LTC criteria.
An interdisciplinary team, consisting of professional and paraprofessional staff, assesses the participants' needs, develops care plans and delivers all services, including acute care services, hospital services and if necessary nursing facility services. PACE programs provide social and medical services primarily in an adult day health center, supplemented by in-home and referral services in accordance with the participant's needs.
The PACE service package must include all Medicare and Medicaid covered services, and other services as determined necessary by the interdisciplinary team.
Prospective PACE organizations must be a not-for-profit private or public entity that is primarily engaged in providing PACE services. Prospective PACE organizations must complete a feasibility study which includes providing evidence the PACE organization will either be cost neutral or save money for long term care services provided by the State in the service area.
The PACE organization enters into a three-party agreement with the Centers for Medicare and Medicaid Services and the Michigan Department of Community Health (MDCH). A contract is also signed between the PACE organization and the MDCH.
Becoming a PACE Organization
It may take up to two years to complete the process to become a PACE organization. Organizations should understand and complete the following general steps:
Any entity seeking to become a PACE organization in Michigan may contact MDCH regarding state-specific requirements.
Current PACE Providers
Michigan has seven PACE centers:
Center for Senior Independence
Center for Senior Independence
The area served by the Center for Senior Independence is in Wayne County and is limited to the following list of zip codes: 48101, 48120, 48122, 48124, 48125, 48126, 48127, 48128, 48146, 48201, 48202, 48203, 48204, 48205, 48206, 48207, 48208, 48209, 48210, 48211, 48212, 48213, 48214, 48215, 48216, 48217, 48218, 48219, 48221, 48223, 48224, 48225, 48226, 48227, 48228, 48229, 48230, 48234, 48235, 48236, 48238, 48239, 48240.
The area served by CentraCare is all of Calhoun and Kalamazoo Counties.
The area served by Care Resources is all of Kent County.
PACE of Southwest Michigan
2900 Lakeview Avenue
St. Joseph, MI 49085
The area served by PACE of Southwest Michigan is Berrien County and portions of Cass and VanBuren Counties: 49013, 49022, 49031, 49038, 49043, 49045, 49047, 49057, 49064, 49085, 49098, 49101, 49102, 49103, 49104, 49106, 49107, 49111, 49112, 49113, 49115, 49116, 49117, 49119, 49120, 49125, 49126, 49127, 49128, 49129, 49090 (Van Buren County only)
Further InformationInformation regarding PACE can by obtained by contacting: Long Term Care and Operations Support Section
Medical Services Administration
Capitol Commons Center
400 South Pine Street
Lansing, MI 48933
Additional information regarding the PACE can be found on the following internet sites:
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