Revision 20-4; Effective December 1, 2020
The Program of All-Inclusive Care for the Elderly (PACE) provides comprehensive health services to the frail elderly through a comprehensive service delivery system and integrated Medicare and Medicaid financing.
PACE provides community-based services for frail and elderly people who qualify for nursing facility placement. A comprehensive care approach is used to provide an array of medical, functional and day activity services for a capitated monthly fee that is below the cost of comparable institutional care.
To be eligible for PACE services, a person must:
- be age 55 and older;
- have chronic medical problems and functional impairments;
- meet nursing facility medical necessity (MN) criteria; and
- reside in a PACE service area.
The person must be eligible for Supplemental Security Income (SSI) or Medicaid under the institutional special income limit.
Currently, there are three PACE sites in Texas:
- Bienvivir Senior Health Services in El Paso;
- The Basics at Jan Werner in Amarillo; and
- La Paloma in Lubbock.
There is no co-payment for the PACE program unless the recipient is admitted to a nursing facility.
For more information about this program, see the Program of All-Inclusive Care for the Elderly (PACE) webpage on the HHS website.