Eligibility Requirements
Rocky Mountain PACE can enroll individuals who meet the following eligibility requirements:
- Be 55 years of age or older
- Be determined by the State of Colorado to need the level of care required for coverage of nursing facility services
- Reside in the Rocky Mountain PACE service area
- Be able to live in the community at the time of enrollment without jeopardizing his/her health or safety based on criteria set forth in the program agreement
We currently serve these zip codes in El Paso county:
80817, 80829, 80903, 80904, 80905, 80906, 80907, 80909, 80910, 80911, 80914, 80915, 80916, 80917, 80918, 80919, 80920, 80922, 80923, 80924, 80925, 80927, 80939, 80951
Costs of Service
Rocky Mountain PACE is designed to provide coordinated healthcare, social engagement, medication management, transportation, in-home assistance, and other specialty care options.
All eligible individuals age 55 years of age and older are welcome to participate and we can assist in determining your qualifications for Medicare and Medicaid and assist in the application process. A private pay option is also available.
IF YOU ARE ELIGIBLE FOR MEDICAID
…you won’t pay a monthly premium for PACE.
IF YOU ARE ELIGIBLE FOR BOTH MEDICARE & MEDICAID
…you won’t pay a monthly premium for PACE.
IF YOU DON’T QUALIFY FOR MEDICAID, BUT YOU HAVE MEDICARE
…you’ll be charged a monthly premium for PACE.
IF YOU ARE NOT ELIGIBLE FOR MEDICARE OR MEDICAID
…you can pay for PACE privately.
WHILE IT IS OUR GOAL TO KEEP PACE PARTICIPANTS IN THEIR RESIDENCE
…the only exception is if the individual lives in or moves to supportive housing (assisted living or nursing home), in which case there is a co-pay to that facility.
Rocky Mountain PACE participants must receive all needed healthcare, including primary care and specialty physician services (other than emergency services) from Rocky Mountain PACE contracted providers.
Rocky Mountain PACE participants may be fully and personally liable for the costs of unauthorized or out-of-PACE program agreement services.