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Medicaid Program of All-inclusive Care for the Elderly (PACE)
The Program of All-inclusive Care for the Elderly (PACE) is a program designed to offer comprehensive health services and in-home care, including supportive services to help individuals maintain independence in the community for as long as possible. It is only open to dual eligible individuals, receiving both Medicare and Medicaid who are over age 55 (including those disabled Medicare beneficiaries between 55 and 65).
PACE is funded as a capitated health plan through Medicare for Medicaid clients. The program is subcontracted out for the full continuum of care. As of 2013, three providers with limited services areas provide PACE:
- Total Longterm Care
• Chambers Center, 3551 N. Chambers St, #A-D, Aurora, 80011 303-375-0649
• Cody East and West, 8405 W Alameda Av, Lakewood, 80226 720-974-5400
• Capitol Center, 200 E. 9th Av, Denver 80203 303-894-0144
• Pinnacle Center, 445 East 124th Av, Thornton, 80241 303-327-1189
• Pueblo Center, 401 W Northern Av, Pueblo 81004 719-553-0400
- Rocky Mountain Health Services - El Paso county
• 2335 Robinson St, Colorado Springs, 80904 719-314-2327
- Senior Community Care of Colorado (Volunteers of America)
• 11485 Highway 65, Eckert, 81418 970-835-8500
• 2377 Robins Way, Montrose, 81403 970-901-5020
Benefits of PACE
As a Medicare Advantage plan, PACE is also a Special Needs Plan (SNP) and individuals who enroll in it are required to use their provider's network of physicians, hospitals, nursing homes, home care agencies and other professionals. This also means there is a formulary for drug benefits for PACE.
The Health Care Team at the administering agency must coordinate health care services, assess the participant's needs regularly, develop and monitor a care plan, provide direct services, coordinate outpatient services and inpatient hospitalizations, contract with specialty physicians and providers and support community-based living where appropriate. Each participant is assigned a primary care staff member who is the main contact for that participant's care. The agency must operate at least one Adult Day Center (with hours 8:00 am to 4:30 pm M-F).
Services Provided
| Adult Day Services | General medical/specialist care (including checkups) Nursing care Personal care (grooming, toileting, bathing) Meals and snacks Medical social services and discharge planning Physical, occupational and speech thereapy Prosthetics and orthotics Foot care Dietary counseling Lab tests, x-rays and other tests Medical and personal care supplies Durable medical equipment Eye care (checkups, treatments, glasses, repairs) Hearing services (tests, hearing aids, repairs) Psychiatric services (evaluation, consultation, diagnosis, treatment) Blood and blood products Oxygen |
| Special Care | Anesthesiology Oral surgery Audiology Otorhinolarynology Cardiology Orthopedic surgery Dentistry Plastic surgery Deratology Pharmacy consulting services Gastroenterology Podiatry Gynecology Psychiatry Internal medicine Pulmonary care Nephrology Rheumatology Neurosurgery Oncology General surgery Opthalmology Thoracic and vascular surgery Urology |
| Home Care Services | Skilled nursing services Home delivered meals Physical, speech and/or occupational therapies Medical social services Personal care services Homemaker/chore services |
| Hospital Services | Semi-private rooms and meals General medical and nursing services Medical/surgical, intensive care, coronary care Laboratory tests, x-rays and other tests Prescribed drugs, medications and supplies Hospital day treatment/outpatient treatment Blood and blood products Physical and occupational therapies Surgical care, including anesthesia Emergency room and ambulance services Social services and discharge planning |
| Nursing Home Services | Semi-private rooms and meals (private only when medically necessary) Doctor and nursing services Long-term nursing care Respite care Short-term acute illness care Personal care and assistance Prescribed drugs and medicines Physical, occupational and speech therapy Medical social services Medical supplies and equipment |
| Transportation | To and from adult day/health center To and from medical appointments Ambulance services to emergency room Other transportation as approved by care team |
For more information on PACE, please contact us at 303-333-3482.
