Eligibility
The age you have to be to be eligible for PACE
55 years old
The person responsible for receiving referrals and providing education in the home
Intake Coordinator
Name of the event that occurs for disciplines to complete initial assessments
Center Day
Two players involved in determining prospective enrollee appropriateness for PACE
CARES and IDT
The employee who facilitates the enrollment signature process
Intake Coordinator
To enroll in PACE, someone must live in an approved THIS
Zip code (will also accept service area)
The home safety visit is completed in conjunction with this other visit
Intake visit
Time frame initial assessments must be completed by prior to enrollment
Within 30 days
Critical factor that may exclude someone from enrollment
Not safe in the home, even with PACE support
Effective date of enrollment
The first of the following month
PACE participants meet this level of care criteria
Nursing home
The point in time when the IDT is cleared to complete initial assessments
When LOC is submitted to CARES
Name four key domains that are assessed during the initial assessment
(i) Physical and cognitive function and ability.
(ii) Medication use.
(iii) Participant and caregiver preferences for care.
(iv) Socialization and availability of family support.
(v) Current health status and treatment needs.
(vi) Nutritional status.
(vii) Home environment, including home access and egress.
(viii) Participant behavior.
(ix) Psychosocial status.
(x) Medical and dental status.
(xi) Participant language
Week of the month the IDT reviews prospective enrollees
Third week of the month
What document must be signed by the participant/caregiver and PACE prior to enrollment?
Enrollment agreement
The name of the organization that completes the LOC assessment
CARES
The length of time it can take for LOC determination to be made
90 days
Week of the month the center day occurs
Second week
Can PACE deny an enrollment if approved by CARES?
No
What is PACE's responsibility if a participant isn't eligible for enrollment?
Refer to community resources
The name of the two organizations that PACE partners with to determine eligibility
CMS and AHCA
The primary discipline responsible for reviewing past medical records
PCP
PCP, RN, MSW, PT, OT, HCC, RD, and AC
Can PACE enroll someone who is currently residing a skilled nursing facility?
No
Can a participant be enrolled in PACE without Medicare and Medicaid?
Yes