Finding Your Forward After Changes in Mobility

The Program of AllInclusive Care for the Elderly (PACE) stands as one of the nations most innovative seniorcare models. In Colorado, PACE integrates Medicare and Medicaid funding to provide older adults with nursinghome eligibility the ability to remain in their communities. This editorial explores how Medicare pays for Colorado PACE, the layered funding structure, and the wide range of services participants receive.Medicare & Medicaid: Dual Funding for Integrated Care Capitated Funding Model PACE operates under a capitated system, meaning CMS (Medicare) and Medicaid each pay a fixed monthly amount per enrollee (PMPM) to PACE organizations. This risk-adjusted payment covers all care deemed medically necessary by the PACE interdisciplinary team. Dual-Eligible Participants (Medicare + Medicaid) If a senior qualifies for both Medicare and Health First Colorado (Medicaid), Medicaid typically pays the portion of the premium that covers long-term care. Medicare covers the remaining portion Colorado PACE+4Colorado PACE+4Colorado PACE+4senioranswers.org. The result? No monthly premiums, deductibles, or copays for approved servicesmaking PACE a cost-effective choice for dual-eligible older adults. Medicare-Only Participants Seniors who qualify for Medicare but not Medicaid must personally pay the Medicaid portion of the PACE premium, in addition to their Medicare Part D prescription premium5. Though they assume more financial responsibility, they still benefit from bundled care under Medicare. Private-Pay Participants Older adults who lack both Medicare and Medicaid are eligible to join PACE; however, they pay the full PMPM cost themselves. Colorado PACE staff provide clear, personalized financial counseling to help families understand their options  Who Is Eligible? Colorados PACE Enrollment CriteriaEnrollment into Colorado PACE hinges on four essential criteria: Being 55 or older Residing within a Colorado PACE service area Meeting nursing home level-of-care requirements per state certification Ability to live safely in the community, with PACE support Once these criteria are met, the enrollment process includes referral/intake, detailed financial counseling, a functional eligibility assessment, an interdisciplinary evaluation at the PACE center, and finally, formal enrollment.A Continuum of Care: Services Covered by Medicare & Colorado PACEColorado PACE offers one of the most expansive care packages in senior services, funded under Medicare Part A, B, and D, as well as Medicaid. Highlights include: Primary Medical Care Routine visits at the PACE center led by providers trained in geriatric medicine. Nursing Support From medication management to chronic care oversight seniorsbluebook.comsenioranswers.org. Therapies Physical, occupational, speech, and recreational therapies to maintain function and independence Wikipedia+3senioranswers.org+3seniorsbluebook.com+3. Home Care Services Skilled nursing at home, personal care, homemaker aid, and respite support. Adult Day Health & Social Activities Daily medical support, meals, games, social events, and therapeutic recreation Colorado Health Care Policy. Transportation Reliable transport to and from the PACE center and medical appointments. Hospital & Emergency Care Medicare-covered inpatient and emergency services arranged through PACE. Pharmacy & Durable Medical Supplies Prescription drugs (including Part D coverage through PACE formulary), lab tests, equipment, and more. Specialty Care Dental, optometry, audiology, foot care, mental health, and access to specialists like cardiologists or dermatologists. Hospital/Nursing-Home Coverage Covers semi-private rooms, meals, therapy, social planning, and discharge coordination. Importantly, there are no deductibles or copays for any IDTapproved servicea major benefit noted by grateful caregivers.Coordination, Continuity, & Cost SavingsPACEs true strength lies in its interdisciplinary team (IDT). Comprised of physicians, nurses, social workers, therapists, dietitians, personal-care assistants, and transportation staff, the IDT develops and manages a personalized, dynamic care plan focused on: Preventive interventions Smooth transitions across care settings (home, hospital, rehab) Social engagement Caregiver support This holistic model helps reduce hospitalizations, emergency visits, and nursing home admissionssaving costs while enhancing quality of life.Why SEOOptimized Keywords MatterIn todays digital age, older adults and caregivers often search for terms like: Medicare PACE Colorado PACE program funding Colorado PACE Medicare coverage services Program of All Inclusive Care for the Elderly Colorado Incorporating these key phrases ensures that vital information about how Medicare pays for Colorado PACE and what services are covered reaches those who need answersfamilies, elder-care planners, and healthcare providers alike.Bottom LineColorado PACE delivers comprehensive, coordinated care powered by an effective blend of Medicare capitation and Medicaid funding. Dual-eligible seniors enjoy nearly full coverageno premiums, copays, or deductibleswhile Medicare-only participants pay a monthly premium that replaces traditional Medicare Advantage and Part D plans. Through an unwavering commitment to community-based, preventive, and person-centered care, Colorado PACE helps older adults age in place safely and with dignity.If you're living in Colorado and meet the age, clinical, and residency criteria, PACE could be your best choice for high-quality, affordable, all-inclusive senior carewith funding from Medicare, Medicaid, and the PACE model that centers on your health and independence.Learn more and begin enrollment by contacting Colorado PACE at 8887881241, or exploring their service area ZIP codes and eligibility information online.By combining strategic SEO keywords and thorough coverage of Medicare funding, eligibility, and services, this editorial highlights why Colorado PACE is a compelling, costeffective option for seniors seeking a unified care solution under Medicare.

When it comes to long-term care options for older adults, the Program of All-Inclusive Care for the Elderly (PACE) offers a comprehensive and compassionate alternative. For Colorado residents, Colorado PACE helps eligible seniors age in place safely, with a full range of services provided through an integrated care model. If youre exploring enrollment for yourself or a loved one, this guide answers the most common FAQs about the Colorado PACE enrollment process.What Is Colorado PACE?Colorado PACE is a health care program designed for adults 55 and older who need nursing home-level care but prefer to continue living in their homes or communities. Through an interdisciplinary team (IDT) of professionalsincluding physicians, nurses, therapists, dietitians, and social workersPACE coordinates every aspect of a participants care. From medical services and home care to transportation and social activities, PACE in Colorado supports seniors in maintaining independence while addressing complex health needs.How Do I Qualify for Colorado PACE?To be eligible for Colorado PACE enrollment, a person must meet the following criteria: Be 55 years or older Live in a designated Colorado PACE service area Be certified as needing skilled nursing care Be able to live safely in the community with PACE support Eligibility is determined through a comprehensive assessment by Colorado PACE's IDT and certification by the Colorado Department of Human Services. The program is open to both Medicaid-eligible and private-pay participants.What If I Dont Qualify for Medicaid?Even if you don't qualify for Colorado Medicaid, you can still enroll in PACE. Participants who are not Medicaid-eligible are responsible for the portion of the monthly premium that Medicaid would typically cover. The rest is generally covered by Medicare. Colorado PACE staff can help assess your financial situation and assist with the Medicaid application process if needed.Can I Enroll in Colorado PACE if Im Already in a Medicare HMO?Yes, but with a catch. Enrolling in Colorado PACE replaces your current Medicare Advantage or HMO plan. PACE acts as both a Medicare provider and a long-term care provider, so you must agree to receive all services through PACE once enrolled.Will I Be Able to Keep My Current Doctor?Upon enrollment, each participant is assigned a primary care physician (PCP) who is part of the Colorado PACE IDT. If your current specialist is within the PACE network, you may be able to continue seeing them. However, to receive the full benefits of coordinated care, PACE participants agree to use providers and services authorized by their IDT. Unauthorized services may result in out-of-pocket costs.How Do I Get to the Colorado PACE Day Center?Transportation is a core service of Colorado PACE. PACE provides transportation to and from the Day Center and to other appointments or therapies included in your care plan. This ensures that even those with mobility or transportation challenges can participate fully in their care.At the Colorado PACE Day Center, participants might: Receive medical care Participate in physical or occupational therapy Eat nutritious meals Enjoy social and recreational activities This all-in-one approach helps seniors stay active, engaged, and well cared forwithout needing to enter a nursing home.Can I Just Use One Service Like Meals or Transportation?No. PACE is an all-inclusive programenrollment means committing to the full care model. For example, someone recovering from a stroke may need not only therapy but dietary counseling, medication management, and social engagement. Colorado PACE provides a holistic treatment plan developed specifically for each participant to promote overall well-being.Do I Have to Attend the Day Center Every Day?Not at all. Most Colorado PACE participants attend the Day Center two to three times a week, depending on their individual needs. Some may go more frequently, while others might only need occasional visits. The IDT evaluates and updates your care plan regularly to ensure the right level of engagement and services.What If I Need Nursing Home Care?The goal of Colorado PACE is to delay or avoid nursing home placement. However, if it becomes medically necessary, PACE will coordinate and pay for that care. Your IDT will continue to supervise your treatment, ensuring continuity and quality of care even in a skilled nursing facility.How Do I Enroll in Colorado PACE?Enrolling in Colorado PACE begins with a simple phone call to 888-788-1241. A Colorado PACE Enrollment Specialist will arrange a home visit and begin the eligibility and assessment process. This includes a medical and social evaluation, typically followed by a tour of the Day Center.You can also visit the main Colorado PACE location at:13650 E. Mississippi Avenue, Aurora, CO 80012Or email: ContactUs@coloradopace.org to schedule your visit or ask questions.Can I Leave the Program If I Change My Mind?Absolutely. PACE is voluntary, and you may disenroll at any time. Your coverage through Colorado PACE continues until the end of the month in which you choose to leave. After that, you can return to traditional Medicare and Medicaid services.Final ThoughtsThe Colorado PACE enrollment process is designed to be thorough, supportive, and centered on the unique needs of each senior. With coordinated care, a dedicated team, and services that prioritize independence, PACE in Colorado is a powerful option for aging adults and their families. For more information or to begin the enrollment process, call 888-788-1241 or visit www.coloradopace.org.

Navigating healthcare options for aging loved ones can be overwhelming, but Colorado PACE (Program of All-Inclusive Care for the Elderly) offers a streamlined and supportive solution. This unique program provides comprehensive medical, social, and long-term care services to help older adults live independently while receiving the care they need. Understanding the Colorado PACE enrollment process is the first step toward accessing personalized, high-quality care for seniors.In this editorial, well walk through the Colorado PACE enrollment process step-by-step, so you or your loved one can make an informed, confident decision about aging in place with the support of an experienced care team.What Is Colorado PACE?Before diving into the enrollment details, it's essential to understand what PACE is. PACE is a Medicare and Medicaid program that serves adults aged 55 and older who meet a nursing home level of care but prefer to live independently at home. Colorado PACE programs are designed to provide holistic, wrap-around services through interdisciplinary care teams. These teams coordinate everything from primary care and therapy to social services and transportation.There are several PACE organizations in Colorado, including Rocky Mountain PACE, InnovAge, and TRU PACE, each serving specific counties and regions.Who Is Eligible for Colorado PACE?To enroll in Colorado PACE, you must meet the following eligibility criteria: Be at least 55 years old Live in a PACE-covered service area in Colorado Meet the states nursing home level of care requirement Be able to live safely in the community at the time of enrollment Eligibility is determined through both financial and medical assessments. Colorado Medicaid (Health First Colorado) or Medicare may cover the cost, depending on your income and insurance status.The Colorado PACE Enrollment ProcessEnrolling in PACE in Colorado typically involves five clear steps:1. Initial Inquiry and ContactThe process begins with a phone call or online form submission to your local PACE provider. Families can contact the enrollment office directly or be referred by a primary care provider, hospital, social worker, or family member.During this step, a PACE representative will gather basic information and explain the services offered. They may also check whether you live in a serviceable ZIP code or region.2. Home Visit or Informational MeetingAfter confirming basic eligibility, a PACE outreach coordinator will schedule an informational home visit or in-person meeting at the local PACE center. This visit includes a detailed overview of the program, the services provided, and how care coordination works. Family members or caregivers are encouraged to participate.This step is a great opportunity to ask questions and explore how Colorado PACE supports independent living with dignity.3. Comprehensive AssessmentThe next step in the PACE enrollment process is a multi-disciplinary medical and social assessment. During this evaluation, you or your loved one will meet with the PACE teamusually including a primary care provider, nurse, social worker, and therapist.This assessment helps determine whether the individual meets the states nursing home level of care criteria. The team will also evaluate the seniors medical history, cognitive ability, mobility, social needs, and safety at home.4. State-Level ApprovalAfter the comprehensive assessment, the PACE provider submits the findings to the Colorado Department of Health Care Policy and Financing (HCPF). The state reviews the documentation to verify nursing home level of care eligibility.This step typically takes 7 to 14 days. If the applicant qualifies, they receive approval to enroll in PACE. If not, the applicant will be notified and offered assistance with alternative options.5. Enrollment and First Day of ServicesOnce approved, the final step is signing the enrollment agreement. PACE coverage officially begins on the first day of the following month. From that point on, the participant receives care exclusively through PACE providers.Each enrollee is assigned a personal care team that develops a customized care plan. Services may include: Primary and specialty care Physical, occupational, and speech therapy Prescription drug coverage Transportation to medical appointments Adult day services Meals and nutrition support In-home care and personal assistance Why Enroll in Colorado PACE?Enrolling in Colorado PACE is more than just signing up for healthcareits joining a supportive community. With coordinated care, 24/7 medical oversight, and social engagement, participants experience improved quality of life and reduced hospital visits. For families, PACE offers peace of mind and relief from the complexity of managing senior care.PACE programs in Colorado are known for their person-centered approach and consistent care teams that get to know each participant personally.Start Your Colorado PACE Enrollment Journey TodayThe Colorado PACE enrollment process is designed to be informative, thorough, and supportive. Whether you're a senior exploring long-term care options or a caregiver seeking help, Colorados PACE providers are ready to guide you every step of the way.To find out if you or your loved one is eligible, contact your local Colorado PACE organization or visit PACE4You.org to learn more.Optimize your future with the right carePACE makes aging in place safe, manageable, and empowering.