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​​​​​​​​Programs of All-Inclusive Care for the Elderly (PACE) organizations are Kentucky Medicaid provider type 19. To enroll and bill Kentucky Medicaid, a PACE organization must: 

  • Submit a letter of intent to Kentucky Medicaid. 
  • Meet the requirements outlined in Section 6 of 907 KAR 3:250.
  • Have a signed, three-way agreement with the Centers for Medicare and Medicaid Services (CMS) and Kentucky Medicaid. 
Providers interested in enrolling as a PACE organization should email Justin Dearinger.

Covered Services

When an individual enrolls in PACE, the PACE organization becomes their sole source of services. PACE organizations develop a team that coordinates and/or delivers an individual's preventive, acute, and long-term care needs. 

PACE organizations must meet the coverage provisions of 907 KAR 3:250 to provide covered services. Any services performed must fall within the scope of practice for the provider. Listing of a service in an administrative regulation is not a guarantee of payment. Providers must follow Kentucky Medicaid regulations. 

Verifying Eligibility

To be eligible for PACE, an individual must: 

Verify Medicaid eligibility by calling the automated voice response system at (800) 807-1301 or visit the web-based KYHealth-Net System

Reimbursement

PACE organizations are reimbursed per 907 KAR 3:250​.

Duplication of Service

The department will not reimburse for a service provided to a beneficiary by more than one provider of any program in which the same service is covered during the same time period. 











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