Medicare Lets Agents Market PACE Home Care Plans

May 29, 2019

  1. Northeast Agent
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    Northeast Agent Guru

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    A PACE program provides soup-to-nuts care for people who already qualify for nursing home care.

    Medicare Lets Agents Market PACE Home Care Plans | ThinkAdvisor

    The Centers for Medicare and Medicaid Services (CMS) has included that provision in a new set of final PACE program regulations. The regulations are set to appear in the Federal Register, an official government publication, June 3.

    A PACE program can provide comprehensive, community-based care for people ages 55 and older, including Medicare enrollees, who can live safely in the community but who already have disabilities, or enough frailty, to make them eligible for Medicaid nursing home care benefits.

    CMS published the original PACE program regulations in 2006. Today, there about 100 PACE organizations in 31 states. Those organizations have only about 45,000 enrollees. In theory, CMS could use PACE organizations as a model for creating a large-scale public LTC benefits program for Americans who are not eligible for Medicaid nursing home benefits.
     
  2. Northeast Agent
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    We have some in my area, although I don't know anyone who partakes. If there are any in your area, they are listed in the back of the personalized Medicare & You books.
     
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