Nebraska Medicaid Program

Provider Information

Program of All-Inclusive Care for the Elderly (PACE) 
 
Program of all-Inclusive Care for the Elderly (PACE) providers must meet all applicable federal requirements, including those set forth in 42 CFR, Part 460, as well as state requirements located at 471 NAC 37-000.
 
PACE providers assume full risk for the cost of all health care and long-term services and supports needed by PACE enrollees.  Consequently, providers must submit to a rigorous federal application process and then enter into a three-way agreement with the Centers for Medicare and Medicaid Services (CMS) and the DHHS Division of Medicaid and Long-Term Care.  For more information about the application process and to view the agreement template, access the following web link:  http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Long-Term-Services-and-Support/Integrating-Care/Program-of-All-Inclusive-Care-for-the-Elderly-PACE/Program-of-All-Inclusive-Care-for-the-Elderly-PACE.html
 
Organizations interested in becoming a PACE provider should submit a letter of interest to the DHHS Division of Medicaid and Long-Term Care and include the following information:
  • Full company or corporate name and primary contact;
  • Proposed geographic service either by county, zip code, street boundaries, census tract, block or tribal jurisdictional area;
  • Proposed timeline for developing a PACE program through beginning participant enrollment date; and
  • A copy of the organization’s internal feasibility study to implement PACE.

Organizations may benefit greatly from contracting with a PACE Technical Assistance Center (TAC) for assistance with applying to become a PACE provider through implementation.  For more information, contact the National PACE Association:  http://www.npaonline.org/website/article.asp?id=4

Currently there is one organization approved to be a PACE provider in Nebraska, Immanuel Pathways in Omaha.  Their service area is all of Douglas and Sarpy counties and portions of Cass, Dodge, Saunders, and Washington counties.