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Last Updated: Friday, October 26, 2018

PACE-TX- Program of All-Inclusive Care for Elderly

Health/Human Services Commission (HHSC)
4900 N Lamar BLVD
Austin, TX 78751

TEL: 800-925-9126


Alternate Phone: 512-424-6500
TTY#:512-424-6597
Program Website
 

Benefits Summary

This is your state’s administrative office for PACE. Services, which are provided by a PACE organization, include comprehensive community based health care and support services for frail elderly persons to enable them to live in their communities instead of a nursing home. This joint Medicare/Medicaid program is under the jurisdiction of the state’s Medicaid office. PACE is more inclusive than either regular Medicaid or Medicare.
 

Benefits

Primary & specialty medical care, emergency care, prescription drugs, physical therapy, adult day care etc.; i.e. all the care and services covered by Medicaid and Medicare. There are neither co-pays nor deductibles. If you are not on Medicaid, there is a premium for the long-term care portion of your care. For most enrollees, you must use PACE physicians. The program is voluntary and you can leave the program at any time.
 

Eligibility Guidelines

Age 55 years or older who: require a “nursing facility level of care”; must be able to live safely in the community at the time of initial enrollment; and live in the service area of a PACE organization. You can be on Medicaid or Medicare or both; if you are in neither program, you may private pay. Note: “nursing facility level of care" is defined by the State’s Medicaid office.
 

How to apply

Contact your local PACE organization; see web site for details and/or link to a local PACE site(s). For general information on PACE, or if unable to find a local PACE site, contact your state’s PACE administrative office at the number shown above.