PACE: Program of All-Inclusive Care for the Elderly

Medicaid renewals underway

For the first time since March 2020, some PACE, BadgerCare Plus, and other Wisconsin Medicaid members must complete an annual renewal process. If you are a member of PACE, it’s important to complete and submit your renewal as soon as you can after receiving your renewal packet in the mail. And if you plan to send in your information by mail or fax, build in extra time! 

PACE is a national program that provides older adults with:

  • Health care.
  • Long-term care.
  • Prescription drugs.

PACE aims to help its members live in a home setting for as long as they can.

In Wisconsin, PACE is an option for people who live in Kenosha, Milwaukee, Racine, and Waukesha County.

View a chart of the Services Included in IRIS, Family Care, Partnership, and PACE, P-00570 (PDF). Members get many services at a PACE center. There are some services members get at home or a setting of their choice.

Who is eligible

Members of PACE must:

  • Be able to live safely in the community with some help.
  • Be at least 55 years old.
  • Be eligible for nursing home care.
  • Live in Kenosha, Milwaukee, Racine, or Waukesha County.

How to apply

To enroll in PACE, contact your local aging and disability resource center (ADRC). These centers serve the public and offer information. They help with issues that affect older adults, people with disabilities, and their families. ADRCs make it easy to learn about resources near you.

PACE is only in some counties. The PACE/Partnership Geographic Service Region Map, P-01789 (PDF) shows which counties. If PACE is not in your county, your ADRC can help find other options.

Contact my ADRC

How to manage your benefits

People who enroll become members of the PACE managed care organization (MCO). The MCO makes sure members get services how, when, and where they want and need.

We have MCO scorecards with reviews and facts about the MCO. View the Information for Members web page.

Once members enroll in PACE, they get a team of health professionals. They often meet with their team at their local PACE center. There, they play an active role in their health care decisions. Along with the member, the team includes:

  • A care manager.
  • A dietitian.
  • A home care coordinator.
  • The member’s family and friends.
  • A PACE center coordinator.
  • A PACE doctor.
  • Physical, occupational, and recreational therapists.
  • A registered nurse.

The care team works to create the care plan and schedule services.

Who to contact for help

Questions? Talk to your ADRC or call Medicaid Member Services at 800-362-3002. You can also email us at DHSFCWebmail@dhs.wisconsin.gov.

For more information, visit the Centers for Medicare & Medicaid Services web page.

Glossary

 
Last revised November 6, 2023