Page 14
PACE providers are required to submit verification to the DFR informing them that the individual is participating in the PACE program. The information that they are required to submit includes: • Name of participant • RID • Name of facility • PACE Pre-Approval Date • Date left the program (if applicable) For those ongoing in another Medicaid category, when a member is enrolled in PACE, this is considered a category change request, and a MED 1 category change must be completed. The only time a member should be added as PACE in the eligibility system is if there is verification from the provider in the case file of participation in the program or a record has been received on the interface. If there are any questions, please submit them to PAL. 3380.05.00 AGE REQUIREMENT The minimum age requirement is 55 years. 3380.10.00 PERMISSABLE PACE CATEGORIES The permissible Medicaid Categories for PACE include MA A, MA B, MA D, MASI MADW, and MADI. 3380.15.00 RESOURCES The resource limit for Medicaid recipients receiving PACE services is the same as the resource limit for MED 1 which is found under policy section 3005.10.00. The transfer of property provision is applicable to applicants/recipients who are enrolled in PACE. Please see IHCPPM 2640.10.05. If the PACE applicant/recipient passes the SIL financial test, the resource eligibility rules for married couples explained in Sections 2635.10.10 through 2635.10.10.15 apply.