Program of All-Inclusive Care for the Elderly (PACE) providers must meet all relevant federal guidelines, along with those set forth in 42 CFR, Part 460, as well as state guidelines located at 471 NAC 37-000.
PACE providers take on full risk for the cost of all health care and long-term services. PACE providers also take on full risk for the cost of care needed by PACE participants. Providers must go through the federal application process, then agree to a three-way contract with the Centers for Medicare and Medicaid Services (CMS) and the DHHS Division of Medicaid and Long-Term Care. The link below has facts about the application process and the contracts: https://www.cms.gov/Medicare/Health-Plans/PACE/Overview.html
For those interested in becoming a PACE provider:
First send a letter of interest to the DHHS Division of Medicaid and Long-Term Care with the following information:
- Full company or corporate name and contact information
- Suggested service area either by county, zip code, street boundaries, census tract, block or tribal jurisdictional area
- Suggested timeline for developing a PACE program through beginning participant enrollment date
- A copy of the group's internal study to apply PACE
Groups may benefit from working with a PACE Technical Assistance Center (TAC). PACE TAC provides assistance in applying to become a PACE provider through application. For more facts, contact the National PACE Association: https://www.npaonline.org/what-is-pace-care.
Currently, there is only one approved PACE provider in Nebraska: Immanuel Pathways in Omaha. Their PACE service area is all of Douglas and Sarpy counties. Parts of Cass, Dodge, Saunders and Washington counties are also included.