Sutter Senior Care PACE Program: A Comprehensive Guide

Sutter Senior Care in Sacramento, California, is a proud provider of the Program of All-inclusive Care for the Elderly (PACE). This Medicare and Medicaid approved program offers comprehensive care, enabling frail seniors to remain within their communities.

PACE, a valuable option under Medicare and Medicaid, caters specifically to seniors who meet nursing home level care requirements. It consolidates all necessary medical and social services, providing an alternative to nursing home placement. This comprehensive approach allows seniors to age in place, surrounded by loved ones and familiar surroundings. The Sutter Senior Care Pace Program embodies this philosophy, offering a comprehensive suite of services designed to promote independence and well-being.

Sutter SeniorCare joined the PACE demonstration program in 1992 and currently serves approximately 260 beneficiaries. This long-standing commitment to senior care demonstrates Sutter’s dedication to providing high-quality, person-centered care. Most beneficiaries qualify for both Medicare and Medicaid, ensuring access to comprehensive coverage. The program operates two convenient PACE centers in Sacramento, located at 1234 U St. and 7000 Franklin Blvd., under the leadership of Plan Administrator Janet Tedesco.

Sutter Senior Care PACE Program: How it Works

A dedicated interdisciplinary team, comprised of a physician, registered nurse, therapists, and other healthcare professionals, conducts a thorough assessment of each participant’s individual needs. This personalized approach ensures that care plans are tailored to address specific requirements. The team then develops a comprehensive care plan, encompassing all aspects of the individual’s well-being. Services are primarily delivered in a supportive adult day health center environment. However, care can also be provided in the comfort of the participant’s home, a hospital setting, or a long-term care facility if necessary. This flexibility ensures that participants receive the appropriate level of care in the most suitable setting.

Who Qualifies for Sutter Senior Care PACE?

Eligibility for the PACE program requires individuals to be 55 years or older, reside within the designated service area of a PACE organization, demonstrate the ability to live safely in the community, and be certified as needing nursing home level care by the state. Enrollment is voluntary. Upon enrollment, PACE becomes the sole provider for all Medicare and Medicaid covered services. Additionally, PACE covers any other necessary medical, social, or rehabilitative services deemed necessary by the interdisciplinary team. Even if a participant requires nursing home placement, PACE remains responsible for their ongoing care and conducts regular evaluations to monitor their condition.

PACE Program Funding and History

PACE organizations receive a fixed monthly payment from Medicare and Medicaid for each participant, based on individual eligibility. This capitated payment model ensures consistent funding, regardless of the specific services required throughout the contract year. Originating as a demonstration project in San Francisco, PACE transitioned into a permanent program through legislation enacted in 1999. This legislation enabled existing demonstration sites, including Sutter SeniorCare, to achieve permanent status.

Contact Sutter Senior Care PACE

For those seeking a comprehensive, community-based care solution for themselves or a loved one, the Sutter Senior Care PACE program offers a viable alternative to traditional nursing home care. More information about the national PACE program can be found on the CMS website. Contact Sutter SeniorCare directly to learn more about eligibility requirements and enrollment procedures.

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