MassHealth’s PACE Program: Program of All-Inclusive Care for the Elderly

Finding the right care for an aging loved one can feel overwhelming. Many seniors want to live at home but need ongoing medical support and help with daily tasks. MassHealth’s PACE program provides a way to receive coordinated care without moving to a nursing facility. It brings together medical treatment, rehabilitation, home assistance, and social services under one program. For those who qualify, PACE offers a way to maintain independence while getting the care they need. Understanding how it works can help you decide if it’s the right choice.

How Does the PACE Program Work?

PACE (Program of All-Inclusive Care for the Elderly) is a MassHealth and Medicare program designed to provide complete medical and daily living support for seniors who need long-term care. The goal is to help participants stay in their homes rather than move into a nursing facility.

PACE offers a full range of services, including:

  • Medical care – Primary care, specialist visits, prescription drugs, and nursing services
  • Rehabilitation – Physical, occupational, and speech therapy
  • Home support – Assistance with personal care, housekeeping, and meal preparation
  • Transportation – Rides to medical appointments and PACE centers
  • Social services – Counseling, social activities, and caregiver support

Care is managed by a team of doctors, nurses, and specialists who coordinate services based on each person’s needs. Participants receive most of their care at a local PACE center, but home visits and hospital care are also available when needed.

Who Qualifies for PACE?

PACE is available to seniors who need long-term care but want to remain at home. To qualify, you must meet the following requirements:

  • Age – You must be 55 or older.
  • Residency – You must live in a Massachusetts area where PACE services are offered.
  • Medical need – You must be eligible for nursing home-level care but able to live safely at home with support.
  • Financial eligibility – You must be enrolled in MassHealth or be willing to pay privately if you do not qualify for Medicaid.

A medical assessment determines whether you meet the care requirements. PACE is an alternative to traditional nursing home placement, offering a way to receive care in a familiar environment. Enrollment is voluntary, and you can leave the program at any time. If you meet the criteria, PACE could be an option to help you maintain independence while receiving necessary care.

How PACE Compares to Other Long-Term Care Options

Choosing the right care option depends on medical needs, living preferences, and financial considerations. PACE provides a unique alternative to traditional long-term care by offering medical services and daily support while allowing seniors to stay at home. Here’s how it compares to other options.

PACE vs. Nursing Homes

Nursing homes provide 24/7 care in a facility for those who need constant supervision or medical assistance. PACE, on the other hand, allows participants to receive the same level of care while remaining in their homes. Instead of living in an institution, PACE participants visit a center for medical appointments, therapy, and social activities while receiving additional care at home as needed.

PACE vs. Home Health Care

Home health care services offer medical assistance at home but do not provide the same level of coordination as PACE. With PACE, a team of doctors, nurses, and specialists manage all aspects of care, ensuring that medical treatments, rehabilitation, and daily support services work together seamlessly.

PACE vs. Assisted Living

Assisted living facilities provide housing with limited medical support. PACE offers a more comprehensive approach by covering all healthcare needs while allowing seniors to remain in familiar surroundings. This makes it a strong choice for those who need regular medical attention but want to avoid moving.

How We Can Help You Explore Your Options

At Surprenant & Beneski, P.C., we understand that choosing the right long-term care option is a significant decision. PACE can be a great choice for those who want to remain at home while receiving medical and daily living support. We can help you assess eligibility, review financial considerations, and explore other options if PACE isn’t the best fit. Our team is here to guide you through the process and ensure you have the information you need.

Is PACE the Right Choice for You?

PACE allows seniors to receive medical care and daily support while staying at home. At Surprenant & Beneski, P.C., we can help you determine if this program meets your needs or explore other long-term care solutions. Contact us today to take the next step in your planning.