Phone 1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.
Full Answer
How do I apply for Medicare pace?
Apply for a PACE program with the individual PACE provider in your area. The Medicare website has a searchable list of PACE programs by state. You aren’t committed to stay on PACE for any length of time. You can leave your PACE program any time.
Where can I find information about pace in Indiana?
Additional information about PACE is available on the Program of All-Inclusive Care for the Elderly page on the Indiana Family and Social Services (FSSA) Division of Aging website.
How much does Medicare pay for pace?
If you are eligible for Medicare (but not Medicaid), you’ll pay a monthly premium for PACE that covers long-term care and prescription drugs. According to the National PACE Association, which advocates for the PACE program and its recipients, the average premium for a Medicare-only PACE enrollee is $4,781 per month.
How do I find out if I am eligible for pace?
To find out if you’re eligible and if there’s a PACE program near you, search for PACE plans in your area, or call your Medicaid office. What you pay for PACE depends on your financial situation If you have Medicaid, you won't pay a monthly Premium for the Long-term care portion of the PACE benefit.
Does Indiana have PACE program?
The Program of All-Inclusive Care to the Elderly (PACE) was implemented by the state of Indiana to provide quality community-based care for Indiana Health Coverage Programs (IHCP) members who: Are 55 years old or older.
Is Pace a Medicare Advantage Plan?
Although the PACE program has certain fundamental similarities to Medicare Advantage and managed care organizations, PACE is not a Medicare Advantage plan.
What does pace mean in Medicare?
Program of All-Inclusive Care for the Elderly (PACE) is a Medicare and. Medicaid. A joint federal and state program that helps with medical costs for some people with limited income and resources.
Is Pace a free government program?
Federal government assisted, or even free home care, is provided by the PACE program. The service is for older Americans and it can help keep them out of a nursing home or assisted living facility.
How much does pace cost with Medicare?
If you are eligible for Medicare (but not Medicaid), you'll pay a monthly premium for PACE that covers long-term care and prescription drugs. According to the National PACE Association, which advocates for the PACE program and its recipients, the average premium for a Medicare-only PACE enrollee is $4,781 per month.
Is Pace a Medicaid program?
PACE is a program under Medicare, and states can elect to provide PACE services to Medicaid beneficiaries as an optional Medicaid benefit. The PACE program becomes the sole source of Medicaid and Medicare benefits for PACE participants.
What type of payment a pace program receives?
capitated reimbursementsThe program receives capitated reimbursements (meaning the reimbursement rate is based on the number of eligible people in the service area) each month from Medicare and Medicaid for each patient the program serves.
What is pace and how does it work?
What are Programs of All-inclusive Care for the Elderly (PACE)? PACE is a Medicare program for older adults and people over age 55 living with disabilities. This program provides community-based care and services to people who otherwise need nursing home level of care.
What are the benefits of pace?
The Program of All-Inclusive Care for the Elderly (PACE) benefits include, but are not limited to, all Medicaid and Medicare covered services:Adult day care.Dentistry.Emergency services.Home care.Hospital care.Laboratory/x-ray services.Meals.Medical specialty services.More items...
How does PACE pay?
Pace earns revenue from the transaction fees it charges merchants for each purchase. Merchants get the full payment for the consumer's purchase, less the transaction fee, while Pace manages repayments from the consumer.
When can I enroll in PACE?
55 years or olderYou are eligible to join if you: Are 55 years or older. Live in a designated PACE service area. Are able to live in the community safely. Meet the level of care requirements as determined by the California Department of Health Care Services.
What is the interest rate on pace financing?
6-8%What is the interest rate for PACE financing? Currently, PACE financing has an average range of 6-8% interest rate with additional associated fees. Typically, the cost of the project is repaid over a period of 15 to 20 years as an annual payment on the property tax bill; however, other payment lengths are available.
Risk-Based Managed Care Delivery System
The PACE program is operated within the risk-based managed care (RBMC) delivery system, and PACE organizations are considered managed care entities (MCEs). In this delivery system, contracted MCEs are paid a capitated monthly premium for each IHCP member enrolled with the MCEs.
Additional Information
Additional information about PACE is available on the Program of All-Inclusive Care for the Elderly page on the Indiana Family and Social Services (FSSA) Division of Aging website.
Provider News & Announcements
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PACE IS..
Programs of All-Inclusive Care for the Elderly (PACE) is a Medicare and Medicaid program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility.
AM I ELIGIBLE TO ENROLL?
The first step to becoming a PACE participant is determining your eligibility. Fill out our short form to find out if you or your loved one is eligible for PACE of Northeast Indiana. A specialist will follow up with you regarding services.
Phone
For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.
1-800-MEDICARE (1-800-633-4227)
For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.
IHCP Quick Reference Guide
The best way to find the correct Indiana Health Coverage Programs (IHCP) contact information (phone or fax number, email address, mailing address, or web link) is to check the IHCP Quick Reference Guide.
Policy Consideration Requests
The Office of Medicaid Policy and Planning (OMPP) has a specific process for IHCP members, providers or other interested parties wanting to submit a request for policy consideration.
Claim-Related Inquiries
For contact information regarding fee-for-service (FFS) electronic and paper claims, see the IHCP Quick Reference Guide.
Electronic Data Interchange Assistance
For help with becoming a trading partner and submitting transactions via electronic data interchange (EDI), contact [email protected] or call the EDI Solutions Help Desk at 800-457-4584, option 3, and then option 1.
Provider Healthcare Portal Technical Assistance
For assistance with technical issues related to Portal access, call the IHCP Portal Help Desk at 800-457-4584, option 3, and then option 3.
Provider Enrollment Inquiries
If you have questions about IHCP provider enrollment, enrollment status or provider profile updates, call Customer Assistance at 800-457-4584 and select option 2, and then option 1 to check provider enrollment status or option 3 to update provider enrollment information.
Frequently Asked Questions
Before contacting us, please review the top 10 frequently asked questions.
By Phone
Are you a member on Healthy Indiana Plan, Hoosier Healthwise, or Hoosier Care Connect? Call your health plan for any coverage or benefit questions. A complete list of phone numbers is provided below.
Online
To submit a question online to Indiana Medicaid, click the following link and complete the online form:
