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PACE Resources
Michigan’s Program of All-Inclusive Care for the Elderly (PACE) helps qualified older adults aged 55 years and older with a range of medical, functional, and social needs. PACE helps people who would otherwise need care in a nursing home to stay in their homes and communities where they can be more independent and closer to the people they care about.
At least 55 years of age or above
Medically qualified (eligible for long term care under Medicaid's eligibility criteria)
Live within the approved area of the PACE organization
Be able to live safely in the community (not residing in a nursing facility) at the time of enrollment
Having Medicare or Medicaid is not required to enroll in PACE, though people without Medicaid will have extra costs to pay. Private pay options are also available. For more information on PACE, see the sections below.
How do I enroll in PACE?
If there is a PACE program in your area, you should reach out to the local PACE center to start the enrollment process.
Click here to see if there is a local PACE center in your area
Adult daycare that offers nursing, physical, occupational, and recreational therapies, meals, nutritional counseling, social work, and personal care
All primary medical care provided by a PACE physician familiar with the history, needs, and preferences of each beneficiary, all specialty medical care, and all mental health care
Interdisciplinary assessment and treatment planning
Home health care, personal care, homemaker and chore services
Restorative therapies
Diagnostic services, including laboratory, x-rays, and other necessary tests and procedures
Transportation for medical needs
All necessary prescription drugs and any authorized over-the-counter medications included in the plan of care
Social services
All ancillary health services, such as audiology, dentistry, optometry, podiatry, speech therapy, prosthetics, durable medical equipment, and medical supplies
Respite care
Emergency room services, acute inpatient hospital, and nursing facility care when necessary
What do I do if PACE denies one of my medical care requests?
If PACE does not approve a request, they must issue a written denial notice. It is important to review this notice for the next steps and timelines to file an appeal. You may need to file what is called an “internal appeal” with PACE for further review, and you may also be able to request a hearing (“external appeal”) for additional review.
You can contact us (MICPOP) at 888-746-6456 for more information and help with your appeal request.