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28.1.4 PACE PACE is a program that provides comprehensive community-based services, including both acute and chronic care for frail elderly individuals. Most services are provided in a day health center, and members must receive medical services from a PACE physician. PACE is only available in select counties. To enroll in PACE, the individual must meet the following criteria: • Be 55 years of age or older, • Meet the nursing home functional level of care, • Reside in a county that offers PACE. PACE participants who are not eligible for Medicaid will pay a premium to the PACE organization. If the PACE Participant is eligible for Medicaid, the participant is subject to the requirements in this chapter, including cost sharing. 28.1.5 IRIS IRIS (Include, Respect, I Self-Direct) is a fee-for-service long-term care support program available to individuals who meet the functional and financial eligibility requirements. IRIS participants receive a budget amount that is calculated based on the results of their long-term care functional screen that can be used to purchase long-term care supports and services related to the participant’s needs. To participate in the IRIS program, individuals must meet the following criteria: • Be 18 years of age or older; • Meet the nursing home level of care; • Meet the financial and non-financial eligibility criteria for one of the following: ◦ A full-benefit category of EBD Medicaid, including Long-Term Care Medicaid ◦ BadgerCare Plus ◦ WWWMA ◦ Adoption Assistance ◦ Foster Care Medicaid; and • Reside in an IRIS eligible living setting: ◦ Individual's own home or apartment; ◦ 1-2 or 3-4 bed Adult Family Home (AFH); ◦ Residential Apartment Care Complex (RCAC). 28.1.6 Changing Programs Individuals who want to change long-term care programs must complete this request through their Aging and Disability Resource Center (ADRC). 28.1.7 Spousal Impoverishment Spousal impoverishment policy applies to group B and B Plus waiver participants with a community spouse (see SECTION 26.3.7 SPOUSAL IMPOVERISHMENT). This page last updated in Release Number: 25-04 Release Date: 11/01/2025 Effective Date: 11/01/2025