To be eligible for Baptist Health PACE, you must meet the following criteria:
Individuals eligible for Baptist Health PACE require a nursing home Level of Care as determined by the Arkansas Department of Health and Human Services.
To be medically eligible for the PACE program, individuals must need assistance with daily living activities (ADL), including transferring/locomotion, eating, or toileting.
Individuals can require assistance or supervision due to cognitive impairments to be eligible as well. Medical assessments will include cognition testing and Changes in Health, End-Stage Disease and Symptoms and Signs (CHESS) testing.
There is no cost to submit an application for the PACE program. 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:
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.