Enrollment Checklist

imagePACE Enrollment Checklist

  • imageInitial phone call to Intake Coordinator
  • imageIndividual home visit and assessment with the Intake Nurse
  • imageSigned consent for release of medical information
  • imagePhone call with PACE Medicaid Coordinator to talk about assets, resources and income
  • imageMedical information supplied by primary physicians and received by PACE
  • imageTeam Assessment scheduled at PACE with the Interdisciplinary Team (IDT)
  • imagePre-Admission Evaluation (PAE) application submitted to the state of Tennessee for approval
  • imageMedicaid application submitted to TennCare for approval
  • imageNotification of PAE approval or denial
  • imagePlan of Care meeting with the Interdisciplinary Team
  • imageNotification of Medicaid approval or denial
  • imageEnrollment may begin on the first day of the following month
H4402_webenroll_CMSapproved 04.18.2017