Program of All-inclusive Care for the Elderly

The care you need,
the independence you want,
from the comfort of your own home.

About

For many seniors, living in the comfort of your own home as you age is what’s most important to you. That’s one reason we’re proud to offer Pacific Northwest PACE Partners. It’s designed for seniors just like you – and it’s intended to provide you an array of services from health care to housekeeping – so you can remain home and close to friends, family and the activities important to you.

Vision Statement

PNW PACE will offer the highest value, compassionate, and equitable health care for eligible seniors in our community with our goal to put participants first and create systems and services that help them stay at home safely.

Services Offered

PNW PACE Partners is more than a doctor or home health services. It’s a full-service program to assist you with ongoing health care, nutrition, physical and emotional support and more. Our team personalizes the program to your medical and personal needs, including:

Primary and specialty medical and nursing care

Prescriptions and over-the-counter medications

Lab tests and diagnostics

Medical supplies and equipment

Dental, hearing, vision and foot care

Mental health services

Therapy and social work services

Rehabilitation

Adult day health services, meals and social activities

In-home care and services, such as light housekeeping, bathing/showering assistance

Emergency services

Transportation

Other services determined to be necessary for you through the PACE program

Frequently Asked Questions

Is there a fee to participate in the PACE Program?

No, there is no cost to you to participate in PACE. However, to receive our services and to avoid any charges, your services must be approved by our care team.

What are the benefits of the PACE Program?

The PACE Program provides more comprehensive services, from traditional medical appointments and nursing care to physical therapy, medication management and light housekeeping. It’s designed to keep you as healthy and independent as possible in your own home and community setting.

What if I decide I no longer want to participate in the Pace Program (disenroll)?

PNW PACE Partners is dedicated to providing you with quality health care services so you may remain as independent as possible. If, for any reason, you do not feel that PNW PACE Partners is what you want, you have the right to leave the program at any time. PNW PACE Partners will assist you to return to the services you were receiving before you joined the program.

What if I have a complaint or concern about the services I receive from PACE?

We encourage you to speak with us anytime about any questions or concerns regarding your care.

We also have a formal grievance process and you have the right to file a grievance about anything, including:

  • Quality of services you receive in the home, at the PNW PACE Partners Center, or in any inpatient or housing facility (hospital, nursing facility, or assisted living facility).
  • Mistakes you feel have been made by PNW PACE Partners.
  • Waiting times on the phone or in the waiting/exam room.
  • Behavior of any of your care providers or program staff.
  • Adequacy of the PNW PACE Partners Center facility.
  • Quality of food provided by PNW PACE Partners.
  • Transportation provided by PNW PACE Partners.

You may file a grievance with any PNW PACE Partners staff member at any time, either verbally or in writing. If you have a grievance after hours, you may telephone the on-call administrator at 1-253-459-7270. Our goal is to resolve participant grievances within one day; however, it may take longer. If we need more time to investigate your concerns, we will let you know how long we think it may take. It is the responsibility of our center manager to investigate and seek a resolution of the grievance as soon as possible but no later than 45 calendar days from receipt of all necessary information and no more than 60 days from the date the grievance is received by PNW PACE Partners.The grievance and the resolution to the grievance will be discussed with you, and a final decision will be sent to you in writing. If you do not agree with the grievance decision, you have a right to file an appeal. This will be included in the letter and PNW PACE Partners staff can assist you with this process.

During the grievance process, we will continue to furnish you with PNW PACE Partners services at the frequency provided in your current plan of care. You have the right to voice a grievance without any fear of reprisal, interference, coercion, or discrimination by PNW PACE Partners staff. You can be assured your grievance will be confidentially handled. PNW PACE Partners will not take your services away because you file a grievance.

 

What if I’m enrolled in Pacific Northwest PACE and Pacific Northwest PACE denies or reduces coverage or payment for a service I feel I am entitled to or I feel is medically necessary?

If Pacific Northwest PACE refuses to provide or pay for a service that you feel is necessary for your health, you or your representative have the right to request an appeal of Pacific Northwest PACE’s decision.

Additionally, if the Pacific Northwest PACE interdisciplinary team denies a request for services or payment or reduces your services, you will be provided with written information about the denial and about how to file an appeal.

You may request an appeal if Pacific Northwest PACE:

  • Denies a service: refuses to provide a service you have requested.
  • Reduces a service: reduces a previously approved service you are presently receiving.
  • Denies payment for a service: refuses to pay for a service you have already received.
  • Does not act promptly: fails to respond in the required time to a request for services or payment.

There are two types of appeal systems available to you:

  • Pacific Northwest PACE internal appeal process; and,
  • External Medicare or Medicaid appeals process.

During the appeal process, we will continue to furnish you with Pacific Northwest PACE services at the frequency provided in your current plan of care. You have the right to make an appeal without any fear of reprisal, interference, coercion, or discrimination by Pacific Northwest PACE staff. You can be assured your appeal will be confidentially handled. Pacific Northwest PACE will not take your services away because you file an appeal.

How do I appoint a representative?

You may choose to appoint a representative using this form (Note: clicking this link will take you to a different website).

Do I Qualify

Because PNW PACE Partners is specially designed for seniors who wish to live at home, there are a few program qualifications, including:

You are age 55 or older

You meet the state of Washington’s requirements for nursing home level of care

You can live safely in your community

You reside in our service area

Qualifying Zip Codes By County:

PIERCE COUNTY ZIP CODES

KING COUNTY ZIP CODES

full list of Pierce County Zip Codes

98321, 98323, 98327, 98329, 98332, 98333, 98335, 98338, 98354, 98360, 98371, 98372, 98373, 98374, 98375, 98385, 98387, 98388, 98390, 98391, 98396, 98402, 98403, 98404, 98405, 98406, 98407, 98408, 98409, 98416, 98418, 98421, 98422, 98424, 98430, 98433, 98438, 98439, 98443, 98444, 98445, 98446, 98447, 98465, 98466, 98467, 98498, 98499, 98580

full list King County Zip Codes

98001, 98002, 98003, 98010, 98023, 98030, 98031, 98032, 98042, 98047, 98092, 98198

Once you are enrolled in Pacific Northwest PACE, all of your health care services are provided and arranged through Pacific Northwest PACE. Services must be approved by the care team and provided by a Pacific Northwest PACE staff member or a Pacific Northwest PACE contracted provider.

If you receive services from someone other than a Pacific Northwest PACE staff member or contracted provider, you may have to pay for those services. If you receive services NOT authorized by the Pacific Northwest PACE care team, you may have to pay for those services.

Emergency services such as emergency hospital care and out-of-area urgently needed,  are not included in this provision. Approval is not required for emergencies and out-of- area urgently needed services within the United States.

How To Learn More

To find out if you qualify for PNW PACE Partners or learn more about it, simply fill out the form below or call us at 253-459-7270 or FAX us at 253-472-6833 or email us at PACE-Referral@multicare.org.

You can also contact us by phone or email for other questions, concerns or information during normal business hours, Monday – Friday, 8 am – 5 pm at 253-459-7270 and PACE-Referral@multicare.org.

To contact us in writing, simply mail us at:
Pacific Northwest PACE Partners
6442 Yakima Ave
Tacoma, WA 98408

Webpage is current as of January 12, 2022

Pacific Northwest PACE Partners is dedicated to providing you with quality health care services so you may remain as independent as possible. Our staff is committed to treating each and every participant with dignity and respect and ensuring that all participants are involved in planning for their care and treatment. If, for any reason, you do not feel that PNW PACE Partners is what you want, you have the right to leave the program at any time. PNW PACE Partners will assist you to return to the services you were receiving before you joined the program.