O-2000, All-Inclusive Care

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Revision 20-4; Effective December 1, 2020

 

O-2100 Program of All-Inclusive Care for the Elderly (PACE)

Revision 20-4; Effective December 1, 2020

 

The Program of All-Inclusive Care for the Elderly (PACE) provides comprehensive health services to the frail elderly through a comprehensive service delivery system and integrated Medicare and Medicaid financing.

PACE provides community-based services for frail and elderly people who qualify for nursing facility placement. A comprehensive care approach is used to provide an array of medical, functional and day activity services for a capitated monthly fee that is below the cost of comparable institutional care.

To be eligible for PACE services, a person must:

  • be age 55 and older;
  • have chronic medical problems and functional impairments;
  • meet nursing facility medical necessity (MN) criteria; and
  • reside in a PACE service area.

The person must be eligible for Supplemental Security Income (SSI) or Medicaid under the institutional special income limit.

Currently, there are three PACE sites in Texas:

  • Bienvivir Senior Health Services in El Paso;
  • The Basics at Jan Werner in Amarillo; and
  • La Paloma in Lubbock.

There is no co-payment for the PACE program unless the recipient is admitted to a nursing facility.

For more information about this program, see the Program of All-Inclusive Care for the Elderly (PACE) webpage on the HHS website.