FAQs

The following are some of the most frequently asked questions by families in search of senior care for their aging parent, grandparent, or loved one. If you do not see your question listed below, please do not hesitate to contact us directly at 501-441-8000, and a member of our team will be more than happy to assist you.

FAQs for potential participants:

• Are prescription drugs covered?
  All prescription and non-prescription drugs deemed necessary by the Baptist Health PACE interdisciplinary care team are paid for by the PACE program.
• Do Baptist Health PACE participants attend the day health center every day?
  Day center attendance is based on individual needs and can range from once a week to five days, Monday through Friday.
• Can I leave the program if it’s not right for me?
  A Baptist Health PACE participant can disenroll from the program at any time. Once disenrolled, you will be able to resume benefits for traditional Medicare or Medicaid.
• What is the cost of Baptist Health PACE?
  The services provided by Baptist Health PACE are fully 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.
  • If he/she is not eligible for Medicare and Medicaid, 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 PACE Program. Participants are responsible for the cost of unauthorized, out-of-program services. Baptist Health PACE provides Medicare Part D coverage for prescription medication. Participants who enroll in a separate Medicare Advantage Plan will become ineligible for continued enrollment in the PACE program.

• Will Baptist Health PACE take me to my doctor appointments?
  Baptist Health PACE provides all medically-necessary transportation to the Baptist Health PACE center for activities or medical appointments.
• Will I have to switch my Primary Care Physician?
  Yes, because all healthcare services are provided on-site by Baptist Health PACE. If you need to see a specialist, our medical team will refer you to one within our Baptist Health PACE network of providers.
• What role does my family play in my care?
  Family involvement is essential to success in the PACE program. The PACE program is intended to work in partnership with the family, not in place of the family.

FAQs for current participants:

• When is the day health center open?
  The day health center is open from 8:00 AM to 5:00 PM, Monday through Friday.
• How can I reach the on-call nurse?
  You can reach the on-call nurse at 501-441-8000 or 501-993-3424.
• Can I disenroll from the Baptist Health PACE program?
  Yes, participants can disenroll from our program at any time.
• How do I request medical equipment or other services?
  Participants can place a service request for medical equipment or other services with any staff member. Let us know how we can help make you more comfortable!
• Can I go to a medical appointment without pre-approval?
  Unfortunately, you are required to obtain a pre-approval from your Baptist Health PACE doctor before any medical visit.
• Am I required to visit the health center every day?
  Day center attendance is based on an individual’s needs.
• Do I need to renew annually?
  You will be required to renew annually. Please contact our enrollment specialist for more information.
• What is the grievance process?
  The participant, family member, or legal representative can deliver a written or verbal complaint to any medical staff member. Complaints can cover medical and non-medical services such as delivery or quality of care furnished by Baptist Health PACE or a contracted facility. The on-call staff member will deliver any grievances reported after business hours to IDT the next day. Grievance resolutions will be determined by a program social worker or complaint designee.
• Do I have to see the primary care Baptist Health PACE physician?
  Yes, Baptist Health PACE participants are required to see our appointed primary care physician.
• How do I appoint a representative for myself or become a representative for my loved one?
  To appoint a representative for yourself or to become your loved one’s representative, download and complete the Form CMS-1696, Appointment of Representative. Also available in Español.