What is Senior Care Partners P.A.C.E? What does “PACE” stand for?
Senior Care Partners P.A.C.E is Calhoun, Kalamazoo, and Eastern Van Buren County’s PACE program. PACE stands for “Program of All-inclusive Care for the Elderly.” PACE is a long-term comprehensive health care program that enables frail elderly adults to live at home in their communities for as long as medically and socially possible.
How can I enroll in Senior Care Partners P.A.C.E?
Just call our Enrollment Coordinators at (269) 441-9313
You must meet four main criteria:
- Live in Calhoun County (all zip codes), Kalamazoo County (all zip codes), Eastern Van Buren County (zip codes: 49009, 49010, 49026, 49055, 49065, 49067, 49071, 49078, 49079, and 49087), Southern Allegan County (zip codes: 49070, 49078, 49080), or Southern Barry County (zip codes: 49012, 49017, 49021, 49046, 49050, 49060)
- Be 55 years of age or older
- Meet nursing home level of care as determined by State of Michigan guidelines
- Be able to live safely in the community with the help of Senior Care Partners
What services does Senior Care Partners provide?
We offer many services to help you stay in your home and be part of your community. Senior Care Partners provides all Medicare and Medicaid covered services. In addition, all services recommended by the Senior Care Partners Interdisciplinary Team will be covered with no out of pocket cost to you if you are covered by Medicare and Medicaid. Some services that we provide include: Center-based Health Services, Home Support Services, Specialty Services, Medical Services, and Inpatient Services.
What do Center-based Health Services include?
We provide primary medical care, nursing, and dietary counseling at our Day Health Center and Clinic. We also offer social work, physical and occupational therapy, as well as transportation to Senior Care Partners and medical specialty appointments as recommended by Senior Care Partners. Social and recreational needs are also met at the Day Health Center because friends and fun are important at all ages!
What types of activities are provided at the Day Health Center?
There are many activities offered at the Center. Some examples are current events discussions, exercise groups, crafts, and bingo. We also offer spiritual enrichment groups, musical entertainment, pet therapy, and gardening. Opportunities for field trips like lunch in local restaurants, trips for ice cream, zoo outings, fishing trips, and much more are offered!
What is Respite?
“Respite Care” is a service which provides caregivers a temporary break from the duties of caregiving by allowing another responsible individual (or individuals) to care for their loved one on a short-term basis. Typically, care is provided at a different location other than the person’s home for a period of time from a few hours up to several days depending on the need and circumstances. This allows you, the caregiver, to recharge your batteries while your loved one continues to receive care in a safe environment.
What is the Day Health Center?
The Day Health Center provides many different recreational activities, hot meals, doctor appointments, and the therapy you need. Senior Care Partners will provide transportation to and from the Center and for medical appointments set-up by the Senior Care Partners team.
How often should I attend the Day Health Center?
Some participants come to the Center several days a week and others will come only once or twice a week. Attendance at the day center at least one day a week is recommended. It is important for you to benefit from all of the services offered at the Center.
What do Home Support Services include?
Home Support Services include home health care, personal care, homemaking/chore provider services and home-delivered meals, if needed.
What Specialty Services are included?
Senior Care Partners P.A.C.E offers specialty services, if necessary and approved by the physician and/or Interdisciplinary Team. Senior Care Partners has many contracted providers in all specialty areas of health care. A list of providers (20Service20Directory%202.2016.docx">Calhoun County or 20Service20Directory%202.2016.docx">Kalamazoo County) are available for your review.
What do Medical Services include?
Senior Care Partners P.A.C.E provides prescription medications, over-the-counter medications when ordered by our doctor, and medication supervision. We cover lab tests and procedures and outpatient services. Medical supplies including diabetic testing, wound supplies and durable medical equipment are available. Emergency care and ambulance services are also offered.
What do Inpatient Services include?
Senior Care Partners P.A.C.E provides hospital care and nursing home care. A list of providers is available for your review.
Where are the Centers located?
Our Calhoun County Center and clinic are located in the Kool Family Community Center, 200 W. Michigan Avenue, Suite 103, Battle Creek, Michigan, 49017. Our Kalamazoo and Eastern Van Buren County Center and clinic are located at 445 W. Michigan Avenue, Kalamazoo, Michigan, 49007.
What other services will I receive?
When you enroll with Senior Care Partners, a plan of care is developed especially for you. You will have a team of health care and service professionals to meet your specific needs. Each person’s unique plan of care is developed just for them by this team. Decisions are based on your own needs regarding your medical health, care giving situation, and functional level. The needs of your caregivers and support network are also considered.
Who would be my primary care doctor?
Elizabeth Cogbill, MD is an internal medicine physician and geriatric specialist, and serves as Senior Care Partners’ Medical Director and Primary Care Physician for both centers. Debra Beard, MD, Mehmet Ismailoglu, MD, and Curtis Simmons, MD, and Physician’s Assistant Wendell Diggs are members of your care team. Our team members are specialists in the gerontology field. This means they are specially trained to manage the complex medical needs of seniors.
Do I have to give up my doctor?
When you enroll with Senior Care Partners, our physician will become your primary care doctor. You will have the chance to meet with the doctor who will be serving you when you come to the Center before joining the program. At that time you may ask any questions about your medical care and discuss any concerns you might have about changing doctors.
- Senior Care Partners allows you to continue to see your current doctor up to twice a year for consultation. However, you will primarily be served by Senior Care Partners’ doctor. You will have the chance to meet with the doctor who will be serving you when you come to the Center before joining the program. At that time you may ask any questions about your medical care and discuss any concerns you have about changing doctors.
What if the Team denies a service I am requesting?
You have the right to appeal any denials to Senior Care Partners P.A.C.E, the State of Michigan or Medicare. The Center Manager or your social worker will help you with this.
Can I choose my own chore provider? Will Senior Care Partners continue to pay my family member providing care for me through Medicaid?
It is possible to request your own chore provider but Senior Care Partners does have a specific standard of service. Personal care must be provided by nurses’ aides currently certified by the State of Michigan. You can talk with the home care nurse about this during the visit to your home.
Who pays for Senior Care Partners?
Medicare and Medicaid pay for Senior Care Partners services. Payment for all services set up by Senior Care Partners is the responsibility of Senior Care Partners. Most people pay nothing. All services and products covered by Medicare and Medicaid are provided through Senior Care Partners. Services needed are defined in the plan-of-care developed for you by Senior Care Partners’ Interdisciplinary Team. As a Senior Care Partners participant, all health care services are provided and arranged by your personal care team. PACE participants may be fully liable for the costs of medical services from an out-of-network provider or without prior authorization, with the exception of emergency services.
How does joining Senior Care Partners affect my Medicare and Medicaid?
If you are currently enrolled in Medicare and Medicaid all covered services will be provided by Senior Care Partners.
- Our staff can help determine if you qualify for Medicaid and assist you through the
- Once you have Medicaid, there is no spend-down amount.
- If you have been denied Medicaid in the past you may qualify for Medicaid if you
are enrolling in this program.
Will joining Senior Care Partners P.A.C.E have any effect on my union or employer-sponsored medical insurance?
If you have this type of insurance you will want to contact your retirement center to ask how your insurance might be affected. Our staff will be glad to help you with this if needed.