 | Member The Program of All-Inclusive Care for the Elderly (PACE) is member-focused. As a member you will discuss your needs with your care team and together you will develop a cost-effective care plan to meet your needs.
The plan will include the use of natural supports, support from the Community Care Team of Medical Professionals and paid services from our provider network.
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 | Care Management Each member is supported by an interdisciplinary care team of professionals. Together, you and your team will identify your needs and develop a plan. The plan will be designed to meet your needs using natural supports, Community Care resources and paid services from our provider network.
Your care team will include: - Primary Care Physician
- Nurse Practitioner
- Registered Nurse
- Social Worker
- Rehabilitation Therapists
- Recreational Therapist
- Dietician
- Day Center Manager
- Home Care Coordinator
- Personal Care Workers
- Transportation Coordinator
Your care team will help coordinate the services you need and authorize them.
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Services
The PACE program is designed to support your medical, long-term care and pharmacy needs. You along with your care team will determine your needs and the services and supports that would meet your outcomes.
An effective and efficient care plan will be developed between you and your team that will support your identified outcomes, meet your needs and assure your health and safety. For a detailed list of services within the PACE benefit package, download and refer to the PACE Member Agreement and Member Handbook.
Your PACE care team includes many of your service providers. If you need to use a provider outside of your team, you will receive service from a provider in Community Care's network that you and your team have selected and your team has authorized. Our provider network offers a broad, diverse group of service providers. We contract with providers that help support our members' outcomes and work with us in an effective way to meet our quality standards.
PACE will be the member's sole service provider. Community Care PACE guarantees access to services but not to a specific provider.
You may receive some of the following services if they are part of your care plan and authorized by your team:
 | Adult Day Services - When an older person is not homebound but still requires some guidance and supervision, adult day services can be an ideal solution. Members may be approved to attend a Community Care Adult Day Health Center daily or a few times a week. A variety of services ranging from clinic visits and care to programs designed to encourage socializing and interaction with others are available.
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 | Behavioral Health - Behavioral Health Care
A team including a psychiatrist, social worker and psychiatric nurse are available to provide behavioral health and substance abuse services when members need this type of care. - Social Services
Community Care provides support to members and families to help them solve problems and adjust to the aging process. We connect members with a variety of resources through Community Care and in the community.
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 | Medical Care - Primary Care – A Community Care Physician will be assigned to you when you enroll in the PACE program. This Physician will work closely with you and your Care Team to help manage your health and long-term care needs.
- Clinical Care – Community Care has clinic locations in Milwaukee and Waukesha staffed with a team of clinical professionals to assist you with your acute care needs.
- Home Health Care – Community Care’s home health care services include a variety of medical and non-medical services to help members remain independent in their homes. These services can range from highly skilled care provided by nurses to aides who provide non-medical assistance, such as help with personal care like bathing and dressing.
- Dental – Community Care will access your dental needs and coordinate necessary services.
- Physician Specialists – Your care team will assess your medical needs and coordinate necessary services with medical specialists.
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 | Pharmacy - Community Care PACE provides members with prescription drugs and certain over-the-counter medications. Members get medications through the Adult Day Health Center if they attend, or from the pharmacy.
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 | Residential Services - Residential Care Apartment Complex (RCAC)
- Community Based Residential Facility (CBRF)
- Adult Family Home (AFH)
- Skilled Nursing Facility (SNF)
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 | Respite and Palliative Care - End of Life and Palliative Care
Community Care’s end-of-life and palliative care services help terminally ill people remain as comfortable as possible in a familiar home setting while providing relief from pain and discomfort. - Respite for Caregivers
Many members are able to remain independent because of the tremendous help and support they receive from a family member or friend. Because caregiving can be a physically and emotionally demanding responsibility, Community Care offers respite services to provide caregivers with a temporary break, giving them time to relax and maintain their own health.
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 | Support Services - Homemaker Services
- Personal Care
- Personal Emergency Response System Services
- Supportive Home Care
- Medical Supplies and Equipment
- Home Meal Delivery
- Self-Directed Supports - The option to take responsibility for hiring some or all of the providers for your long-term care services.
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 | Therapy - Community Care offers a variety of therapy options including physical and occupational rehabilitation and speech therapy for members needing these services.
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 | Transportation - Community Care provides members with transportation for medical appointments and Adult Day Health Center visits. Transportation for other purposes may also be provided. Drivers are well-trained, understand member needs and safely transport members to their destinations.
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Quality Assurance/Outcomes
You, your family and your care team work together to ensure the services you receive are coordinated and delivered. You'll meet with your care team at a minimum of every six months to review your care plan and ensure the services you are receiving effectively meet your needs. Your team will update your care plan if your condition changes or whenever they determine that the services you are receiving do not meet your needs or support your outcomes.
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