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Enrollment & Eligibility

PACE of Cincinnati is for older adults who have disabilities, chronic health conditions or other health or long-term care needs, but want to remain independent in their homes and communities. PACE of Cincinnati is also for family caregivers who are struggling to juggle daily responsibilities, in addition to caring for their aging loved one.

To be eligible for PACE, you must be:

  • A Hamilton County resident
  • Age 55 or older
  • Eligible for nursing home care
  • Able to live safely in the community with support from PACE of Cincinnati services

When you enroll, PACE of Cincinnati becomes the sole service provider for Medicare and Medicaid eligible enrollees, guaranteeing access to services, but not to a specific provider. Our care team provides and coordinates health care and other services and works hand-in-hand with you and your family to develop a personalized care plan.

As a PACE participant, you must receive all needed health care services, including primary care and specialist physician services (other than emergency services), from PACE of Cincinnati.

PACE of Cincinnati participants may be fully and personally liable for the costs of unauthorized or out-of-PACE program agreement services.

If you feel PACE of Cincinnati is right for you and your family, we are here to help you begin the enrollment process. The steps are detailed below, and our intake coordinators are ready to answer your questions.

Step 1: PACE Intake and Eligibility Requirements

  • Call PACE of Cincinnati at (513) 862-7223 (7-1-1 for TTY assistance)
  • Talk to an intake specialist about how PACE works, including eligibility requirements.
  • Answer a few questions during the initial phone assessment to help determine eligibility.
  • Schedule an assessment appointment and tour.

Step 2: Assessment and Tour PACE of Cincinnati Center

  • Have a home visit with a PACE of Cincinnati team member. This initial assessment will be reviewed by the Medical Director and interdisciplinary team.
  • Schedule a visit to our PACE center, located in Norwood. You’ll meet with our care team to help determine your needs.

Step 3: Determination of Medical and Financial Eligibility

  • Complete required forms to help determine eligibility and cost (if applicable). Our enrollment team can help you with this, including applying for Medicaid.
  • Provide the following documents:
    • ID for applicant and Power of Attorney (POA)
    • Social security card
    • Proof of citizenship (birth certificate, alien registration, or passport)
    • Proof of gross income (social security benefits letter, disability benefits and deductions, pension benefits and deductions, paycheck stubs, or other proof)
    • Proof of living expense (rent or mortgage payment, homeowner’s insurance and property taxes, utilities bills, or other proof)
    • Proof of health care insurance (Medicare, Medicaid, or insurance cards)
    • Proof of assets (current bank statements, life insurance policies, burial contracts, stocks, bonds, IRA, annuities, or other proof)

Step 4: PACE Program Enrollment

  • Receive notification of approval or denial of enrollment into the PACE program.
  • If enrollment is approved, we’ll schedule a meeting with you, your caregiver(s) and the PACE team to discuss the PACE agreement and finalize plans for beginning PACE.