We'll Take it From Here.
At Huron Valley PACE, we understand you and your loved ones lead busy lives. We seek to make the enrollment process as seamless and effortless as possible. We even fill out all initial paperwork so you don't have to. There are three simple steps prior to enrollment:
The first step in the enrollment process is a home visit by a Huron Valley PACE Enrollment Coordinator and a Home Assessment Coordinator. They will gather:
✔ Biographical Information
✔ Insurance Information Including Medicare & Medicaid Eligibility Status
✔ Family Contact Information
✔ Medical Information
They will also complete the Michigan Medicaid Nursing Facility Level of Care Determination Tool. This information will allow the HVPACE team to assess current health needs and safety in the home.
Following the initial home visit, the potential participant and their family are invited to visit the Huron Valley PACE Day Health Center. The potential participant will undergo individual assessments conducted by the Interdisciplinary Team and will have the opportunity to become acquainted with the PACE facility and fellow participants.
The Interdisciplinary Team includes:
- Primary Care Physicians
- Registered Nurse
- Masters Level Social Workers
- Occupational, Physical, and Speech Therapists
- Recreational Therapists
- PACE Center Manager
- Home Health Care Coordinator
- Patient Care Aides
- Transportation Coordinator
The Huron Valley PACE Interdisciplinary Team creates an individualized Plan of Care for the potential participant based on assessment information. The Enrollment Coordinator brings the Plan of Care and Enrollment Packet to the potential participant’s home for signing.
If a person meets the eligibility requirements and decides they would like to enroll in PACE, an Enrollment Agreement (similar to a member handbook) is signed. The Enrollment Agreement contains things such as participant demographic data, description of benefits, effective date, explanation of policy regarding premiums, emergency care, etc.
Participants begin services on the first of the month and enrollment continues as long as desired by the PACE participant, regardless of change in health status. Costs depend on your Medicare and Medicaid eligibility.
A participant may be fully liable for the cost of medical services from an out-of-network provider or without prior authorization (except in emergency services).