A combination MedicareWaiver/ Medicaid Waiver that provides day health center-based comprehensive community and medical services. PACE capitates primary, acute and long term care services exclusively for frail dual eligibles at risk of institutionalization.
PACE is a program that provides care to at risk seniors and others eligible for nursing facility (NF) services through an adult day health care model and is capitated to cover all costs of care from physician to hospital/home.
A managed care benefit that exists in certain areas of the U.S. and provides a medical and social service delivery system through a nonprofit or public entity, combining Medicaid and Medicare financing. Qualified Individual (QI) A person with an income between 120% and 135% of the Federal Poverty Level (FPL) and limited financial resources who receives some assistance with Medicare costs but is not on Medicaid.