Program of All Inclusive Care FOR the Elderly

What is PACE?

PACE (Program of All-Inclusive Care of the Elderly) is a unique program designed to help elderly members of the community remain in their homes as long as possible. Participants enrolled in the program receive a comprehensive plan of care that is individualized to their needs.

The PACE program offers participants an alternative to traditional nursing home facilities by assisting them to stay in their homes as long as safely possible with an array of services coordinated by the Interdisciplinary Team.

How Does the PACE Program Work?

A Partnership with Families

PACE is a program designed to assist families in caring for their loved ones. The basics at Jan Werner partners with the family to provide services to enhance the quality of life and enable a participant to continue living in the community. 

The basics social services staff will assist interested applicants and their family in the application process. Eligibility and acceptance are determined by the State of Texas.

Individualized Care Plan

Once a participant is determined eligible for the PACE program, he/she is evaluated by an Interdisciplinary Team (IDT) of health care specialists, which uses that evaluation to develop an individualized care plan. The individualized care plan is a health care plan customized to meet a participant’s medical, psychosocial and functional needs.

While participants of the program are regularly monitored and cared for, the IDT meets at least every six months to re-evaluate and assess a participant’s individual care plan and adjust accordingly. By monitoring and adjusting a participant’s plan based on need and outcome, The basics strives to provide the highest quality care to participants.

To learn more about the services offered by The basics and the PACE program, click here. 

 

Who We Serve

The basics at Jan Werner PACE Program serves the frail and elderly of Amarillo and Canyon. The program is designed to provide for all of a participant’s healthcare needs while allowing them to remain safely in their home and the community as long as possible. Participants in the PACE Program are at least 55 years old, live within a The basics’ service area, and have been certified by the State of Texas as needing nursing home care.

No Out-of-Pocket Expenses

The services provided by The basics at Jan Werner PACE Program are covered by Medicare and Medicaid. There are no copays or out-of-pocket expenses for participants who are eligible for both Medicare and Medicaid. A participant is required to pay a premium if:

  • He/she is not eligible for Medicaid; or
  • He/she is not eligible for Medicare and Medicaid, in which the participant will pay a premium equal to the Medicare and Medicaid premium.

All healthcare services needed by the participant, and approved by the Interdisciplinary Team, are covered by the program. Participants may be held responsible for the cost of unauthorized, out-of-program services. The basics at Jan Werner offers participants Medicare Part D coverage for prescription medication.

Eligibility

The basics at Jan Werner provides comprehensive care to the frail elderly in the community. Enrollment in the PACE Program is determined in part by the State of Texas. The basics at Jan Werner assists all interested applicants in assembling and submitting an application to the State.


Eligibility Requirements

Prospective participants must meet the following criteria to be eligible to participate in the PACE Program:

  • 55+ years of age;
  • State certified as needing nursing home care;
  • Living within the service area of The basics at Jan Werner
  • Can safely live within the community.

The basics at Jan Werner assists applicants with the application process, but approval of application and enrollment are determined by the State of Texas. If you’d like to learn more about eligibility or want to start the enrollment process, please call the Intake Department at (806) 374-5516.

The PACE Enrollment Process

Enrollment in the PACE Program is voluntary. Below is an overview of the enrollment process.

Interested participant or family requests program and enrollment information.

The intake coordinator sets up an appointment at the day center to provide information, answer questions and begin the application process. The social services department will assist in filling out and submitting the Medicaid application (if applicable) to the State for approval. This process may take 30-45 days.

A home visit will then be scheduled with members from The basics Interdisciplinary Team for assessments and to determine safety in the community.  The medical necessity assessment is completed and submitted to the State for approval.

If determined eligible, The basics at Jan Werner will work with the participant and his/her family to enroll the participant into the PACE Program.

Cost of the PACE Program

The services provided by The basics at Jan Werner PACE Program are covered by Medicare and Medicaid. There are no copays or out-of-pocket expenses for participants who are eligible for both Medicare and Medicaid. A participant is required to pay a premium if:

  • He/she is not eligible for Medicaid; or
  • He/she is not eligible for Medicare and Medicaid, in which the participant will pay a premium equal to the Medicare and Medicaid premium.

All healthcare services needed by the participant, and approved by the Interdisciplinary Team, are covered by the program. Participants may be held responsible for the cost of unauthorized, out-of-program services. The basics at Jan Werner offers participants Medicare Part D coverage for prescription medication.