Indiana to Launch the State’s First PACE Program

Beginning on November 1, 2014 Indiana will begin enrollment for the State’s first PACE program.  The Program for All-inclusive Care for the Elderly (PACE) is a risk-based managed care program for both Medicaid and Medicare benefits.  Participants must be at least 55 years of age or older, required nursing home level of care, be in a PACE service area, and be to safely live in the community at time of enrollment.  The program provides a wide-range of benefits from hospital and physician care to nursing care, home care, social services, meals and adult day care, and more.  When a participant enrolls they are required to sign an agreement indicating they understand the PACE organization is their sole service provider.

The Franciscan Alliance in Indianapolis will be the first PACE program service provider and the Indiana Division of Aging will handle the enrollemnet process.  Providers of all types will need to be sure the check a patient’s Medicare and Medicaid card to see if that person is a PACE enrollee.  Indiana Medicaid will deny payment for any fee-for-service claims submitted by non-PACE providers for PACE members.  Additional information will be distributed by Indiana Medicaid in the near future.  To read the latest IHCP Bulletin click here.