What is LifeCircles PACE®?
PACE® (Program of All Inclusive Care for the Elderly) is a nationwide healthcare program combining medical and social models. The PACE philosophy is centered on the belief that it is better for seniors with long-term care needs and their families to be served in the community whenever possible. Each PACE location has its own name; the PACE site serving all of Muskegon county and portions of Ottawa and Allegan Counties is called LifeCircles.
Who can join LifeCircles PACE?
A person qualifies if he/she is:
- 55 years of age or older,
- Eligible to live in a nursing home as defined by the State of Michigan,
- Able to live safely in the community when they join, with the help of LifeCircles PACE services, and
- Living anywhere in Muskegon County and portions of Ottawa and Allegan Counties
Just call 231-733-8655 or 616-582-3100 and we’re happy to conduct an assessment to determine eligibility for LifeCircles PACE. Schedule a tour of the facility and let us demonstrate how PACE has created a different and better kind of care. Through LifeCircles PACE individuals experience a program that provides and coordinates all needed care, with the goal of keeping someone at home instead of in a nursing home.
What is considered community living?
Examples of community living include: someone’s own home, with family members, independent senior living, assisted living, or group/foster home. It does not include permanently residing in a nursing home. In order to assess safety in the home, it is best that someone has resided in their current living situation for at least a few months and intends to remain there. LifeCircles is not intended for people who desire permanent nursing home placement.
What if someone is in a Nursing Home?
If someone is currently receiving care in a nursing home or rehabilitation facility but will be returning to a community-based living arrangement, he/she can be referred to LifeCircles PACE. It is a PACE requirement that a participant must be safely residing in the community at the time of enrollment. Assessments for LifeCircles PACE cannot begin until a person is living in the community. However, we are happy to meet at the facility for an informational visit and, if appropriate, will coordinate with the discharge planner. Since our goal is to help people reside in the community, if an individual is permanently living in a nursing home, LifeCircles PACE is not an option.
What services does LifeCircles PACE provide?
LifeCircles PACE provides all Medicare and Medicaid covered services. In addition, all services recommended by the Interdisciplinary Team will be covered. For more details on services, please read the Services page.
What is the cost for LifeCircles PACE?
The program is funded by Medicare, Medicaid and/or private funds. For those who qualify for Medicaid, LifeCircles PACE costs nothing (no copays, deductibles, spend-downs, or donut holes). We encourage anyone to call us to discuss Medicaid eligibility, as we find that many people don’t know they qualify for assistance. PACE participants may be fully liable for the costs of medical services from out-of-network providers without prior authorization (with the exception of emergency services).
Individuals are not required to have Medicare and Medicaid for enrollment. Please contact us to discuss the monthly cost of our all-inclusive care.
How does someone get to LifeCircles PACE?
LifeCircles PACE provides transportation to and from the Day Center and all medical appointments as approved by the Interdisciplinary Team. All transportation is wheelchair accessible.
What is the LifeCircles PACE Day Center?
The Day Center provides many opportunities in one place. We restore community and social interaction through fun activities and outings. Primary medical care and other health services are provided at the clinic located within the center, as well as therapies, group exercise, entertainment, and nutritional meals. The Day Center is open Monday thru Friday. Medical services are available through a provider who is on call 24 hours a day, 7 days a week. Average attendance is two days per week; however, Day Center attendance is based on individual and care giver needs.
Is a doctor’s referral needed to be considered for LifeCircles PACE?
No, a referral is not needed to call and begin the enrollment process. We encourage potential participants to talk with their doctor about LifeCircles PACE. Often an individual’s needs increase beyond what a traditional primary care physician’s office can provide. Because LifeCircles PACE is all-inclusive, we become a ‘one-stop-shop’ for senior care and closely coordinate all health care and functional supports. If the current primary care doctor has questions about the program, please ask him or her to call us for more information.
Is a change of primary care doctor necessary?
Yes. Participants of LifeCircles PACE use the program’s primary care doctors and network of providers. At LifeCircles PACE, the participant is at the core of the Interdisciplinary Team. If LifeCircles PACE is considered, the potential participant will meet our medical staff prior to enrolling in the program. We know that trusting a new provider can be a challenge; speak to your enrollment coordinator about seeing your current PCP up to two times during your first year of enrollment for consultation visits.
Who are the medical providers at LifeCircles PACE?
The Medical Director of LifeCircles PACE is Dr. Iris Boettcher, who is Board Certified in Geriatric Medicine, Hospice Care and Palliative Medicine. The Primary Care Providers in our Muskegon Clinic include Daniel Caldwell, PA-C, Tom Langton, PA, and Cheryl Fowler, DNP, RN. In our Holland clinic, the Primary Care Providers are Shauna Wishka, PA-C and Perry Babcock, FNP. Dr. Allison Ilem is our Director of Behavioral Health.
What if a specialist is needed?
When services from a specialist are needed, LifeCircles will schedule and coordinate the appointment with one of our contracted medical specialists. LifeCircles must approve the referral. We contract with many specialists in the area.
Once enrolled, how long does someone remain in LifeCircles PACE?
LifeCircles PACE is meant to be a life-long program, as long as one continues to meet PACE program eligibility requirements. It is our commitment to work with participants and their families to maintain and improve health status. We have a strong commitment to Advanced Care Planning and provide palliative and end of life care.
What happens if someone wants to leave the LifeCircles PACE program?
Participants may dis-enroll from LifeCircles PACE for any reason. We will assist him/her in restarting benefits in traditional Medicare and Medicaid programs, Medicare Part D, help find another Primary Care Physician, provide medications for 30 days, and make other service referrals as needed.
How does someone get more information about LifeCircles PACE?
Call LifeCircles PACE and speak with an Enrollment Coordinator at 231-733-8655 in Muskegon or 616-582-3100 in Holland, fax 231-683-2612, or email firstname.lastname@example.org.
Do you have an Adult Day Center only option?
Yes! We offer Adult Day Center only at LifeCircles! Participants enjoy socializing in our Day Center with transportation and meals optional. You can select how often you want to attend the program between Monday and Friday 8:30-4:00pm.
LifeCircles PACE does not discriminate in the delivery of services based on race, ethnicity, national origin, religion, sex, sexual orientation, age, mental or physical disabilities or source of payment.