Frequently Asked Questions

PACE is authorized by the Centers for Medicare and Medicaid Services (CMS) and has certain eligibility requirements for enrollment. You can join PACE if you are:

• Age 55 or older
• Living within or willing to relocate to our service area (Multnomah, Clackamas, Washington, Clatsop, or Tillamook County).
• In need of support services as defined by the state of Oregon. This generally means needing assistance with "activities of daily living" such as moving about (ambulating), memory (cognition), and/or using the bathroom (toileting)
• Able to live in a community setting (includes family home or assisted care settings, and not a nursing facility)
• Medicaid eligible or willing to pay private fees equal to the current Medicaid rate
• Willing to receive all needed health care, including primary care and specialist physician services (other than emergency services) from the PACE organization or from a provider authorized by the PACE organization

Those enrolled in PACE are supported in their least restrictive environment (often their own home, an assisted living or residential care facility, or an adult care home).

If you have any questions about eligibility, please call us at 503-215-6556.

What you pay depends on your financial situation. There are no co-payments or deductibles. ElderPlace PACE covers all necessary medical and social services.

• If you financially qualify for Medicaid services, PACE is fully covered.
• If you do not qualify financially for Medicaid, the ElderPlace premium equals the current Medicaid rate plus an amount for prescription drug coverage.

PACE is both an insurance and a provider. If you have Medicare and/or Medicaid when you join PACE, you do not lose your coverage but authorize Providence ElderPlace PACE to administer your benefits. This means that you maintain benefits covered by Medicare and/or Medicaid and become eligible for additional benefits offered by ElderPlace PACE.

Participants live in different settings, including their own homes or one of the hundreds of contracted, licensed care communities (including ALF/RCFs, adult care homes, and memory care) located in our service area.

Out of our nine ElderPlace PACE locations, three are also a licensed care community where a small number of our participants live. These facilities are licensed by the state and are located in the Cully, Glendoveer, and Irvington neighborhoods.

Those enrolled in ElderPlace live in different settings, including their own homes or one of the hundreds of contracted, licensed care communities (including ALF/RCFs, adult care homes, and memory care) located throughout our service areas in Portland metro and the North Coast.

We also have three out of our nine ElderPlace PACE locations with an attached Assisted Living or Residential Care Facility. These facilities are licensed by the state and are located in the Cully, Glendoveer, and Irvington neighborhoods.

When you join PACE, you switch to an ElderPlace PACE doctor. You also gain a multidisciplinary care team of clinicians who are experts in senior health and are dedicated to providing you with personalized care. We contract with hundreds of specialists throughout our service area as well. Please call us at 503-215-6556 and speak with an Eligibility Specialist to learn more.

We recognize that you may have a long-term relationship with your previous doctor and will work hard to ensure a seamless transition to your PACE care team.

Contact our Eligibility team and we will answer any additional questions you have and determine if you are eligible for PACE. Call us at 503-215-6556, email us at [email protected], or complete our online referral form.