Financial eligibility is determined in the local DHS office. They must also meet the medical necessity criteria for care in an ICF-MR facility. This program, which has limited enrollment, is an alternative to institutionalization. Individuals must also meet the medical necessity criteria for care in an ICF-MR facility. Children eligible for certain TANF-related programs or in certain foster care Medicaid programs may also receive services.
PACE provides community-based services through a comprehensive care approach.
Medical, functional, and day activity services are provided at a capitated rate below the cost of comparable nursing facility care. For more information, see PACE Program . Back to top Emergency Coverage for Aliens Certain aliens who meet all SSI criteria except citizenship may be eligible for coverage of emergency conditions. Countable income must be within the institutional limit. For more information, see Primary Home Care .