Program of All-Inclusive Care for the Elderly (PACE) is a Medicare and Medicaid program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility. PACE programs coordinate and provide all needed preventive, primary, acute, and long-term care services so that older individuals can continue living in the community.
PACE and Home Care
Becoming a Preferred Home Care Vendor
• Understand PACE requirements
• Contact local PACE programs (specifically the PACE Community Relations Director)
• Align your services – specific types of care, adjusting your hours, providing additional training to your staff • Prepare a proposal – detailing services you can provide, how you will provide them, how your services will benefit PACE clients
• Undergo evaluation – may be evaluated by PACE to ensure quality of services, reliability, etc
• Contract negotiation – include details like services to be provided, compensation and how vendor relationship will be managed
• Compliance and quality assurance – periodic reviews to ensure services are provided in accordance with PACE standards
Types of Services Covered by VA
• Primary care services
• Hospital care
• Prescription drugs
• Emergency service
• Nursing home care
• Physical, occupation and speech therapy
• Home care
• Nutritional counselling
• Social work services
• Medical equipment and supplies
• Recreational therapy
• Dental, vision, hearing services
• Transportation
• End of life and hospice care
Invoicing Services
General Steps for Invoicing:
1. Provide services
2. Document services including dates, times, duration, nature of services, specific caregiver
3. Prepare invoice that matches service logs and documentation
4. Submit invoice directly to PACE organization (method of submission will depend on contract requirements)
5. Follow up
6. Receive payment
Organizations and Resources to Target:
• Healthcare providers
• Medicare and Medicaid offices
• Senior centers and community organizations
• Hospitals and clinics
• Word of mouth
• Local PACE centers
• Aging and disability resource enters (ADRCs)
• Area agencies on aging (AAAs)
Caregiver Training Key Topics:
• Military culture and veteran-specific needs (PTSD)
• Mental health support
• Physical disabilities and assistive devices
• Medication management
• Communication and active listening
• End of life and palliative care