Program of Allinclusive Care for the Elderly PACE

Program of All-inclusive Care for the Elderly (PACE) Courtesy Assessments. Oregon ACCESS

Objectives What is a Courtesy Assessment for PACE Case set up in Oregon ACCESS

Courtesy Assessments Courtesy assessments are completed with individuals who will be paying for PACE services privately or who receive Medicare benefits and do not want to receive Medicaid benefits. The case manager will complete a 4 ADL assessment. The Client Details do not need to be completed. The Benefit and Service plans are not completed. Narrate the date of the assessment, the assessment outcome, and why the courtesy assessment was completed. Fax the SDS 002 N to the PACE organization.

Courtesy Assessments – Case Set Up

Courtesy Assessments – Case Set Up Scenario #1: The person exists in both CI and Oregon ACCESS AND the records are registered (connected).

Courtesy Assessments – Case Set Up

Courtesy Assessments – Case Set Up Scenario #2 – The Person exists in both CI and Oregon ACCESS BUT the records are not registered (connected).

Courtesy Assessments – Case Set Up

Courtesy Assessments – Case Set Up

Courtesy Assessments – Case Set Up Scenario #3 – The person exists in CI, but does NOT exist in Oregon ACCESS.

Courtesy Assessments – Case Set Up

Courtesy Assessments – Case Set Up & Integrated ONE

Courtesy Assessments – Case Set Up Scenario #4 – The person exists in Oregon ACCESS but does not exist in CI.

Courtesy Assessments – Case Set Up

Courtesy Assessments – Case Set Up Scenario #5 – The Person does not exist in CI or Oregon ACCESS

Courtesy Assessments – Case Set Up

Courtesy Assessments – Case Set Up

Courtesy Assessments – Case Set Up

Courtesy Assessments – Case Set Up

Courtesy Assessments – Case Set Up

Collaboration & Communication PACE is a partnership, not just between participants and the program, but also with the APD/AAA Offices, the PACE organization and the State of Oregon. We all share the same goal of enhancing the quality of life for Oregon’s aging population!

PACE Resources

PACE Resources

PACE Resources Medicare. gov PACE Overview https: //www. medicare. gov/your-medicare-costs/get-help-payingcosts/pace National PACE Association https: //www. npaonline. org/ PACE CFR 460 Title 42 → Chapter IV → Subchapter E → Part 460 https: //www. ecfr. gov/cgi-bin/textidx? SID=a 3 fe 0 a 6 a 52 f 47235 c 57 d 9 b 04 bea 47999&node=42: 4. 0. 1. 3. 1 6&rgn=div 5 APD Case Management Tools – PACE Website http: //www. dhs. state. or. us/spd/tools/cm/PACE/index. htm

PACE Resources Oregon Administrative Rules – OAR 411 -045 http: //www. dhs. state. or. us/policy/spd/rules/411_045. pdf PACE Links on DHS-APD Internet site https: //www. oregon. gov/DHS/seniorsdisabilities/SPPD/Pages/index. aspx https: //www. oregon. gov/DHS/SENIORSDISABILITIES/LTC/Pages/index. aspx State PACE Brochure Form DE 2658 https: //apps. state. or. us/Forms/Served/DE 2658. pdf

PACE Organization Contacts Providence Elder. Place Intake Specialists 503 -215 -6556 (metro service areas) 503 -717 -7150 (North Coast service area) All. Care PACE (Jackson & Josephine Counties) 541 -474 -8000

State Contacts Lisa Bouchell, PACE Policy Analyst, APD 503 -947 -0192 or lisa. bouchell@dhsoha. state. or. us Cindy Susee, PACE Financial Analyst, APD 503 -945 -6448 or Cynthia. susee@dhsoha. state. or. us PACE Oregon Toll-free: 1 -844 -224 -7223