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

URGENT:

Learn about our responses to Coronavirus and find the latest program guidance. www.Michigan.gov/Coronavirus >> Resources >> For Health Professionals

MDHHS advises review of  "Actions for Caregivers of Older Adults During COVID-19" and supporting Frequently Asked Questions (FAQ) document.

Michigan's stay at home order has been lifted, learn about each phase of the MI Safe Start Plan

Resuming Standard Operations for Case Management and Home and Community Based Services - NEW

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:

• Medically qualified, must meet Medicaid's LTC eligibility criteria
• Must be at least 55 years of age or older
• Must live within the approved geographic area of the PACE organization
• Must be able to live safely in the community (not residing in a nursing facility) at the time of enrollment
• Must not be concurrently enrolled in the Medicaid MIChoice waiver
• Must not be concurrently enrolled in a Health Maintenance Organization (HMO)

The PACE organization receives referrals from providers in the community who believe a person meets Medicaid eligibility and LTC eligibility criteria.

• Comparison of Home and Community Based Long Term Care Programs

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 may be a for-profit or 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 Health and Human Services (MDHHS). A contract is also signed between the PACE organization and MDHHS.

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:

• Potential organization researches Federal regulations and information available from the National PACE Association to assess the feasibility of becoming a PACE organization.
• Potential organization completes a feasibility study.
• Potential organization submits a letter of intent and the feasibility study to MDHHS (address listed below).
• Potential organization prepares and submits a PACE application to MDHHS.
• MDHHS contacts CMS Central Office to notify them of the possible addition of PACE sites.
• MDHHS evaluates the organization and approves the application as appropriate.
• MDHHS submits the formal application to CMS along with the MDHHS assurance that the entity is considered to be qualified as a PACE organization and is willing to enter into a PACE organization agreement with the entity.
• Readiness Review occurs with an MDHHS site visit.
• Within 90 days of formal application, CMS approves, denies, or requests additional information.
• Once CMS approves, MDHHS and CMS enter into a PACE organization agreement with the organization.
• The PACE organization contracts with MDHHS.
• The PACE organization proceeds to enroll beneficiaries.

Any entity seeking to become a PACE organization in Michigan may contact MDHHS regarding state-specific requirements.

For more specific PACE information you can locate the PACE section within the Medicaid Provider Manual.

Current and Potential PACE Membership Information

Interactive Map Resource - PACE Providers in Michigan

Current PACE Providers

Michigan has 25 PACE centers:

The area served by PACE of Southeast Michigan is in all  zip codes in Wayne, Macomb, and Oakland counties except:  48111, 48165, 48167, 48168, 48170, 48178, 48187, 48188, 48374, 48375, 48377, 48390, 48393, 48442.

 The area served by Senior Care Partners PACE is all of Calhoun and Kalamazoo counties and the following zip codes in Allegan, Barry and Van Buren counties: 49009, 49010, 49026, 49055, 49065, 49067, 49071, 49078, 49079, 49087, 49070, 49080, 49017, 49046, 49050, 49060.

Care Resources
4150 Kalamazoo Ave. SE
Grand Rapids, MI 49508
616-913-2006 or 800-610-6299

The area served by Care Resources includes all of Kent county and the following zip codes in Ottawa county: 49428, 49418, 49435, 49534, and 49544. The Allegan county zip codes 49315, 49316, 49323, 49328, 49344, and 49348. The Barry county zip codes 48849, 48897, 49058, 49316, 49325, 49333, 49344, 49348. The Ionia county zip codes 48809, 48815, 48846, 48849, 48865, 48881, 49302, and 49331.

The area served by LifeCircles is Muskegon County and the following zip codes in Allegan and Ottawa Counties: 49315, 49318, 49330, 49401, 49415, 49423, 49424, 49426, 49434, 49451, 49460, 49464, 49010, 49026, 49055, 49056, 49090, 49315, 49406, 49408, 49419, 49423, 49450, 49453, 49403, 49404, 49409, 49417, 49448 and 49456.

Sunrise PACE
5229 Lakeshore Rd
Fort Gratiot, MI 48059
810-388-6300

The area served by Sunrise PACE includes the following zip codes in the counties of Huron, Sanilac, St. Clair and Tuscola: 48001, 48002, 48004, 48005, 48006, 48014, 48022, 48023, 48027, 48028, 48032, 48039, 48040, 48041, 48049, 48054, 48059, 48060, 48061, 48062, 48063, 48064, 48074, 48079, 48097, 48401, 48410, 48413, 48416, 48419, 48422, 48426, 48427, 48434, 48441, 48444, 48450, 48453, 48454, 48456, 48465, 48466, 48469, 48470, 48471, 48472, 48475, 48726, 48729, 48735, 48741

Thome PACE

2282 Springport Rd.

Jackson, MI 49202

517-768-9791

The area served by Cascade PACE is Jackson, Lenawee, and Hillsdale counties.

PACE of Southwest Michigan
2900 Lakeview Ave.
St. Joseph, MI 49085
855-243-8876

The area served by PACE of Southwest Michigan is all of Berrien County and the following zip codes in Cass and Van Buren Counties:  49013, 49022, 49031, 49038, 49043, 49045, 49047, 49057, 49064, 49079, 49085, 49098, 49101, 49102, 49103, 49104, 49106, 49107, 49111, 49112, 49113, 49115, 49116, 49117, 49119, 49120, 49125, 49126, 49127, 49128, 49129, and the Van Buren County portions of 49056, 49065, 49067, 49090.

Huron Valley PACE
2940 Ellsworth Rd.
Ypsilanti, MI 48197
855-483-7223

The area served by Huron Valley PACE is all of Washtenaw County and the following zip codes in Wayne, Monroe, Oakland and Livingston counties: 48111, 48116, 48117, 48131, 48133, 48134, 48139, 48140, 48143, 48144, 48145, 48157, 48159, 48160, 48161, 48162, 48164, 48165, 48166, 48167, 48168, 48170, 48174, 48178, 48179, 48182, 48187, 48188, 48189, 48191, 48196, 48242, 48374, 48375, 48377, 48390, 48393, 49238, 49267, 49270 and 49287.

Ascension Living PACE Michigan
412 E. First Street
Flint, MI 48502
810-236-7500

The area served by Ascension Living PACE Michigan is all of Genesee county zip codes. All of Lapeer county zip codes except 48435 and 48744. The Shiawassee county zip codes 48414, 48418, 48429, 48433, 48436, 48476 and 48857. The Livingston county zip codes 48418, 48430, 48442, 48451, 48816 and 48855. The Tuscola county zip codes 48420, 48464, 48727 and 48760. The Oakland county zip codes 48442.

Great Lakes PACE
3378 Fashion Square Blvd.
Saginaw, MI 48603
989-272-7610

The area served by Great Lakes PACE is following zip codes in their entirety:

48417, 48435, 48449, 48601, 48602, 48603, 48604, 48607, 48609, 48611, 48614, 48615, 48616, 48620, 48623, 48626, 48631, 48634, 48637, 48638, 48640, 48642, 48649, 48650, 48655, 48662, 48701, 48706, 48708, 48722, 48723, 48724, 48732, 48733, 48734, 48744, 48746, 48747, 48757, 48767, 48768, 48817, 48841, 48867 and the Saginaw, Midland, Bay, Gratiot, Tuscola, Shiawassee and Arenac County portions of the following zip codes: 48415, 48457, 48460, 48807, 48831

VOANS Senior Community Care of Michigan
1921 E. Miller Road
Lansing, MI 48911
517-319-0700

< />The area served by VOANS Senior Community Care of Michigan is the following zip codes in Ingham, Eaton, Clinton, Shiawassee, Livingston, Barry and Ionia counties: 48808, 48813, 48819, 48820, 48821, 48822, 48823, 48824, 48825, 48827, 48831, 48835, 48837, 48840, 48842, 48848, 48851, 48853, 48854, 48860, 48861, 48864, 48866, 48872, 48875, 48876, 48879, 48890, 48892, 48894, 48895, 48906, 48910, 48911, 48912, 48915, 48917, 48924, 48933, 49021, 49076, 49096, 49251, 49264, 49284, 49285.

< /> 

Community at PACE, Inc.
231 West Pine Lake Drive
Newaygo, MI 49337
1-800-689-6675

The area served by Community at Home, Inc. is the following zip codes in Lake, Mason, Mecosta, Oceana, Osceola, Newaygo and Montcalm counties:  49303, 49304, 49305, 49307, 49309, 49310, 49312, 49320, 49322, 49327, 49329, 49330, 49332, 49336, 49337, 49338, 49339, 49340, 49342, 49343, 49346, 49347, 49349, 49402, 49405, 49410, 49411, 49412, 49413, 49420, 49421, 49425, 49431, 49436, 49437, 49446, 49449, 49452, 49454, 49455, 49458, 49459, 49623, 49631, 49639, 49642, 49644, 49655, 49660, 49665, 49677, 49679, 49688, 49850, 48886. 

PACE Central Michigan
1750 E. Bellows
Mt. Pleasant, Michigan 48858
989-953-5800

The area served by PACE Central Michigan is all of Clare, Gladwin, Isabella, Roscommon counties and the following zip codes in Gratiot, Midland, and Montcalm counties: 48801, 48806,48811,48818, 48832, 48847, 48856, 48871, 48877, 48880, 48883, 48889, 48612, 48618, 48628, 48652, 48657, 48858, 48883, 48829, 48834, 48838, 48884, 48885, 48888, 48891, 49310

PACE North
2325 N. Garfield Rd
Traverse City, MI  49686
1-833-410-2086

The area served by PACE North is all of Grand Traverse , Benzie, and Leelanau counties and the following zip codes in Wexford, Kalkaska, Antrim, and Manistee counties.  49601, 49618, 49620, 49625, 49633, 49638, 49649, 49663, 49668, 49683, 49689, 49612, 49646, 49659, 49676, 49680, 49690, 49615, 49622, 49629, 49648, 49613, 49614, 49616.

Further Information

Information regarding PACE can be obtained by contacting:

Integrated Programs Management Section
Health and Aging Services Administration
PO Box 30479
Lansing, MI 48909
517-241-4293

Additional information regarding the PACE can be found on the following website:

• National PACE Association - http://www.npaonline.org/