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Eligibility

You are eligible to enroll in PACE CNY if you are:doctor exam

  • At least 55 years of age;
  • A resident of Onondaga County; and
  • Eligible for nursing home level of care as certified by New York State.

All of these eligibility criteria and conditions of enrollment must be met in order to enroll in PACE CNY.

Additionally you must meet the following conditions of enrollment:

  1. Determined to be capable of safely residing in the community with PACE CNY support services at the time of enrollment;
  2. Qualify for Medicaid and/or Medicare or agree to pay the private pay;
  3. Require more than 120 days of community based long term care services

All of these eligibility criteria and conditions of enrollment must be met in order to enroll in PACE CNY.

PACE CNY may choose not to enroll participants whose condition is such at the point of enrollment that their health and safety would be jeopardized by remaining in their home and community.

Eligible individuals who are enrolled in a facility or any Home and Community Based Services Waiver program will not be accepted for enrollment until they have been disenrolled from the facility or the waiver program.

NYS Conflict-Free Evaluation and Enrollment Center Requirement

If you are a Medicaid beneficiary (or are pending Medicaid) and wish to enroll in PACE CNY or any Medicaid Community-Based Managed Long Term Care Program, you must contact the Conflict-Free Evaluation and Enrollment Center (CFEEC) to arrange for a CFEEC nurse to visit you at your home, nursing home or hospital to determine your eligibility.

New York State has implemented an independent and conflict-free long term services and supports evaluation system for new applicants residing in Onondaga County who are in need of community-based long term care services.  New York State has partnered with a company called Maximus and they will serve as the independent and conflict-free entity providing evaluations, education and enrollment services.  Managed Long Term Care (MLTC) plans receiving calls from Medicaid or pending Medicaid recipients seeking a plan assessment must be directed to the Conflict-Free Evaluation and Enrollment Center (CFEEC) at 1-855-222-8350.

 

For more information on PACE CNY please call (315) 452-5800
Toll free: 1-888-728-7223 • TTY# 1-800-662-1220

Office hours are Monday through Friday, 8:00 a.m. to 5:00 p.m.

 

IL #168  Rev 4-7-16
MKT16.2 for H3321 - Approved DOH 4-7-16; Approved CMS 6-16-16