Who is eligible for PACE?

You are eligible if you or your loved one are:
  • 55 years of age and older
  • Eligible for nursing home services by State of Colorado
  • Live in an area served by PACE

 

Areas served by Rocky Mountain PACE

We currently serve the following zip codes and continue to add more as we receive requests to serve new areas:

80817
80829
80903
80904
80905
80906
80907
80909
80910
80911
80914
80915
80916
80917
80918
80919
80920
80922
80923

How much does it cost?

$0
I am eligible for Medicaid

There is no cost to me for PACE services.

$0
I am eligible for Medicare & Medicaid

There is no cost to me for PACE services.

I am eligible for Medicare only

We can arrange a private pay rate to cover the Medicaid costs.

I am not eligible for Medicare or Medicaid

We can arrange a private pay rate to cover the Medicare and Medicaid costs.

What can participants expect?

Participants can expect to receive a comprehensive approach to their health care. Our team works with each participant to achieve their goals while helping them remain as independent as possible.

What types of services does PACE offer?

PACE is designed to meet all the medical needs of an individual. We do this through highly coordinated management of the person’s individual needs. We provide medication management, coordination of all doctor and specialist appointments, transportation to medical appointments, home health care, case management, medical equipment needs, personal care and counseling services to those who require these supports. In addition, we also provide socialization and recreation opportunities through our Day Center. Our goal is to keep the person as highly independent as possible.

How is someone referred to PACE?

The first step is to call our intake to team to schedule an in-person assessment. Anyone can make this call including the potential participant, family member or provider in the community. The PACE intake team can be reached at 719-314-2327. Once our clinician completes a preliminary assessment and determines if the person meets enrollment criteria and would be a good fit, the potential participant will visit the clinic to learn more. Please know all participants are in the PACE program voluntarily.

Are prescription drugs covered?

Yes. All prescription and non-prescription drugs deemed necessary by the PACE interdisciplinary care team are paid for by the PACE program.

Are people who do not qualify for Medicaid eligible for PACE enrollment?

Yes. If a person meets the income and assets limits to qualify for Medicaid, the program pays for a portion of the monthly PACE premium. Medicare pays for the rest. If a person does not qualify for Medicaid, he or she is responsible for the portion of the monthly premium Medicaid would pay. PACE staff can help determine a person’s Medicaid eligibility.

How do people get to the day health center?

PACE programs provide transportation to the day health center. Transportation is a key part of the PACE benefit. Transportation is not only provided between the home and the day health center, but also to appointments with specialists and other activities.

Do PACE participants attend the day health center every day?

No. On average, PACE participants attend the day center three times a week. Day center attendance is based on individual needs and can range from once a week, or every month, to several days a week, as needed.

What happens if a PACE participant needs nursing home care?

The goal of PACE is to keep participants out of a nursing home as long as possible. If at some point it is in the best interest of the participant to receive care in a nursing home, PACE will pay for the care and the supervision of the interdisciplinary team will continue.

What happens is a person wants to leave PACE?

A PACE participant is free to dis-enroll from PACE and resume their benefits in the traditional Medicare and Medicaid programs at any time.

How long does it take for someone to enroll in the program?

The process can take anywhere from as little as two weeks to as long as two months, depending on several factors including benefits. We pride ourselves on helping the person make the transition into PACE as smoothly as possible and typically there is a good amount of paperwork involved which our team helps the person complete. Please know participants can both enroll and dis-enroll at any time.