Services & Benefits

The PACE Program provides access to medical care, prescription drug coverage, and long-term care supports and services without the worry of insurance bills, copays, deductibles or insurance gaps.

Together with your care team, you develop a cost-effective care plan that includes approved paid services through our extensive provider network, as well as natural supports (like family members, friends and neighbors).

You may have to pay for any care you receive from out-of-network providers without prior approval from your care team, except in emergencies.

Services may include:

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 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.

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.

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.

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.

Residential Services

• Residential Care Apartment Complex (RCAC)
• Community Based Residential Facility (CBRF)
• Adult Family Home (AFH)
• Skilled Nursing Facility (SNF)

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.

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.

Therapy

• Community Care offers a variety of therapy options including physical and occupational rehabilitation and speech therapy for members needing these services.

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.

Material ID: H5212_Web_12.2018 | CMS Approved: 12/19/2018