Program of All-Inclusive Care for the Elderly (PACE)
WA DSHS HCLA
PACE(全面养老照护项目)是一项面向老年人的综合性健康和社会服务项目。参加的人本来需要养老院级别的照护,但仍然可以安全地住在社区里。在华盛顿州,PACE 由 Providence ElderPlace、International Community Health Services 和 PNW PACE Partners 提供。参加者由一个团队统一安排,得到协调好的医疗照护、日间项目服务,以及日常生活上的帮助。
谁符合资格
包含哪些内容
费用
怎么申请
如何申请
Call Providence PACE intake
Enrollment runs through the PACE organization itself rather than a state portal, so the first step is a conversation with their intake team.
- Providence PACE intake 206-320-5325
- Providence PACE referral form 打开
- DSHS PACE overview 打开
- Visit a Providence PACE center
需要准备的材料
- Photo ID
- Medicare card and Apple Health proof
- Proof of income and bank or asset statements
- Property and transfer records
- Information about daily-living limitations, diagnoses, and medications
- Proof that you live in the PACE service area
Enrollment takes effect the first day of the calendar month after the PACE organization receives your signed agreement. Any underlying Medicaid determination follows the standard 45 day rule, or 60 days if a disability decision is needed.
值得了解
PACE means using only the PACE network for all of your care. If you go outside it without authorization you can be personally liable for the full cost, with emergency care the exception. This is the single biggest thing to understand before enrolling.
Providence serves two regions in Washington: King and Snohomish counties in the west, and Spokane County in the east. Moving out of the service area ends your enrollment.
PACE carries the 60 month asset-transfer lookback when Medicaid is paying, because PACE is one of the pathways that confers institutional status.
You must be 55 or older and meet nursing facility level of care, certified by a DSHS social worker, as well as living in the service area.
There are no copayments or deductibles within PACE.
The 2026 long-term care financial standards apply: income up to $2,982 a month, a $2,000 resource limit, and a home equity limit of $1,130,000.
查看您的下一步、需要准备的材料以及如何申请。保存到您的账户即可跟踪进度。
接下来可以去哪里
成人日间照护中心
成人日间照护中心(adult day center)是为白天需要一定程度看护和照顾、但不需要专业护理或康复治疗的成年人开设的日间项目。服务通常包括个人照护、社交活动、教育、日常健康监测、治疗性活动、正餐和点心、交通安排、急救和紧急处理。
成人日间健康照护
成人日间健康照护(adult day health)是为白天需要专业护理或有执照的康复治疗的成年人开设的日间项目。中心提供专业护理服务,物理、职业和言语语言治疗,简短的心理或咨询服务,此外还有成人日间照护中心提供的个人照护、餐食、社交活动和健康监测。
Apple Health Classic Medicaid (SSI-related / Aged, Blind, Disabled)
Apple Health(华盛顿州 Medicaid)是华盛顿州对所有州医疗补助项目的统称,其中包括 Medicaid(医疗补助)。"Classic Medicaid" 指的是 Apple Health 里面向 65 岁及以上、盲人、残障,或者需要长期照护的人的那部分。这些项目计算收入的方式和 Supplemental Security Income(SSI,补充保障收入)一样,而不是用适用于年轻成年人和家庭的、按报税计算的规则。大部分 Apple Health 项目由州的 Health Care Authority 管理。Department of Social and Health Services(DSHS,华盛顿州社会与健康服务部)管理与 SSI 相关的保障、由州出资的 Medical Care Services 项目,以及帮忙支付 Medicare 费用的 Medicare Savings Programs(Medicare 保费补助项目)。如果您同时有 Medicare 和 Apple Health,Apple Health 就是您的第二层保险,补上 Medicare 不付的费用,比如自付额、共付额、助听器和牙科。它还可以为长期照护出资。
Apple Health for Workers with Disabilities (HWD)
Apple Health for Workers with Disabilities 让 16 岁及以上、盲人或残障的在职成年人可以自付参加 Medicaid(医疗补助)。它提供完整的 Apple Health 保障。和大多数基于残障的 Medicaid 不同,它不查资产,也没有收入上限。您符合资格的条件是:有残障(按联邦残障规则认定),并且有工作,全职或兼职都行,包括自雇。您每月付一笔保费,保费随收入增加,但永远不会超过您总收入的 7.5%。美洲印第安人和阿拉斯加原住民不用付保费。参加期间,您可以把收入存进一个单独指定的账户,这个账户不会影响您申请其他 Medicaid 项目的资格。
不确定这个是否适合您的情况?您当地的老龄事务局可以核查您符合哪些资格,并为您指出合适的项目,完全免费。没有人会出售您的信息,也没有人会向您推销来电。
来源 www.dshs.wa.gov/altsa/home-and-community-services/services-help-adult-remain-hom
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