PACE is a Program of All-inclusive Care for the Elderly (PACE). PACE is based upon the successful long-term care model in San Francisco known as On Lok. This program was developed as a special health plan for frail older adults. This health plan will arrange for doctors, nurses or other specially trained people to help with these problems. It also gives PACE participants a place to go to receive this care.

PACE is a complete health care program that offers a more personal way of getting health care. All of the PACE team want to get to know you and our staff will work with you and your family to provide the care that you need.

PACE - Front

We want to help you stay as independent as possible.  We offer a complete program of health care and health-related services, all designed to keep you living in your own home and community for as long as possible. 

PACE provides a range of services 24/7. People who specialize in health care will watch for changes in your condition, provide treatment, and encourage you to do things for yourself. Medical care, nursing, physical therapy, occupational therapy, nutritional services, medical social work services, including services you can get in your home, are offered through PACE. In addition, special medical services such as hearing, dentistry, vision, psychiatry and speech therapy also are an important part of your care and will be provided and coordinated through PACE.

If you need care in a hospital, it will be arranged through PACE. If you need nursing facility services, PACE will arrange for care at a nursing facility in the community. We are also interested in the social, cultural, and economic needs of you and your family. After all, this is at the heart of our mission.

How is PACE unique?

Personal Care Team - A Personal Care Team will create a care plan with you and your family and/or caregiver. Your team includes, at a minimum, a primary care physician, a registered nurse, a social worker, a dietitian, a physical therapist, an occupational therapist, a speech therapist, an activity coordinator, PACE Site director, a home care coordinator, a certified nurse assistant, and a driver. Each team member will evaluate your medical and social needs. The team may also call on other specialists.

Authorization of Care - You will get to know each of your team members very well. They will help you to be as healthy and independent as possible. Your choices for health care must be approved in advance by your team in order for those services to be paid for by PACE.  About three times a year, your team will re-evaluate your needs. They will talk with you and your family to see if your needs have changed. They will meet more often with you and your family if your health needs require it, or at the request of you or your family.

If your Personal Care Team finds it necessary for you to receive additional services from other doctors or specialists, then the team will approve these services, make the appointment for you, and take you to and from the appointment with the outside provider. If you make appointments without the knowledge or consent of the team, you may be responsible for payment of those services.

PACE Center - You will receive most of your health care services from our PACE Center, a multi-purpose center that provides you with health care, nutritious meals, activities, and opportunities to socialize and make new friends.

PACE Center Attendance – Your Personal Care Team will talk with you and your family to determine the best plan of care. This includes working with you to determine the appropriate number of attendance days at the PACE center.

“Lock-In” Provisions - As a PACE participant, all health care services are provided and arranged by your Personal Care Team. If a PACE participant receives medical services from an out-of-network provider and/or without prior authorization (with the exception of emergency services), the participant may be liable for the full cost of those services.

Fees – PACE is a non-profit program and is funded through a unique arrangement with Medicaid and Medicare. For more information, please call 757-234-8465.