For Information about Senior Care Options (SCO) Programs MassHealth Customer Service can tell you more about the SCO program. It can also direct you to the SCO plans serving the town you live in. 1-800-841-2900 For Information about PACE Programs 1-800-841-2900 Commonwealth Care Alliance 1-866-610-2273 TTY: 1-866-322-7357 www.commonwealthcare.org Elder Service Plan of Cambridge Health Alliance 617-575-5850 TTY: 1-800-439-2370 www.challiance.org NaviCare® HMO 1-877-255-7108 TDD/TTY: 1-877-795-6526 www.navicare.org Elder Service Plan of East Boston 617-568-4602 TTY: 1-800-439-0183 www.ebnhc.org Senior Whole Health 1-888-566-3526 TTY: 1-888-749-6455 www.seniorwholehealth.com Elder Service Plan of Harbor Health Services, Inc. 617-533-2400 TTY: 617-533-2404 www.elderserviceplan.org United Healthcare Senior Care Options 1-800-393-0939 TTY: 1-888-685-8480 www.uhccommunityplan.com For Information about Frail Elder Waiver, Massachusetts Home Care Program, and Other Programs Provided Through Aging Services Access Points (ASAPs) 1-800-Age-Info (1-800-243-4636) TTY: 1-800-872-0166 www.1800ageinfo.org Find your local ASAP and much more information about aging services all in one place. Call 1-800-Age-Info. Commonwealth of Massachusetts EOHHS www.mass.gov/masshealth MassHealth Customer Service can tell you more about the PACE program. It can also direct you to the PACE plan serving the town you live in. Elder Service Plan of the North Shore 1-877-803-5564 TTY: 781-715-6688 www.pacenorthshore.org Summit ElderCare® 1-800-698-7566 TTY: 1-800-889-4106 www.summiteldercare.org Uphams Elder Service Plan 617-288-0970 TTY: 617-287-8000, Ext. 8206 www.uphamselderserviceplan.org Note: A TDD/TTY number is for people with partial or total hearing loss. AGING WELL AT HOME… KNOW YOUR OPTIONS! SENIOR CARE OPTIONS (SCO) PACE PROGRAMS FRAIL ELDER WAIVER and MASSACHUSETTS HOME CARE PROGRAM This brochure is from the Massachusetts Executive Office of Health and Human Services and the Executive Office of Elder Affairs. Our address is One Ashburton Place, Boston, MA 02108. If you have questions about these programs, please call MassHealth Customer Service at 1-800-841-2900. SCO-PACE-FEW (02/12) MassHealth offers programs that help seniors to get their medical services and remain at home. You got this brochure because you are a MassHealth member who is at least 65 years of age and may be eligible for one or more of the programs described inside. We have included provider and contact information. Use this information to learn more about these programs. Senior Care Options (SCO) The Program of All-inclusive Care for the Elderly (PACE) Frail Elder Waiver and Massachusetts Home Care Program If you join the SCO program, your SCO plan gives you comprehensive, medically necessary health care services. Nurses and other SCO staff will visit you at home. This helps your care providers find out what you need to stay healthy and remain at home. If you join this program, you must go to doctors and other providers in the SCO plan’s provider network (except in special circumstances). If you join PACE, your PACE program gives you comprehensive, medically necessary health care services. PACE is designed to help older adults stay in the community instead of getting nursing home care. If you join PACE, your primary care is coordinated by doctors and nurses at a PACE day center. At the PACE day center, you can have a meal and participate in activities. You can also see social workers, physical therapists, and other professionals who specialize in the care of older adults. Many services are also provided at home. Most PACE primary care providers work only with people in the PACE program. If you need a specialist, PACE will help you to choose one from a network of providers. If you join this program, you must go to doctors and other providers in the PACE program’s provider network (except in special circumstances). The Frail Elder Waiver pays for home- and community-based services for eligible people on MassHealth. The Frail Elder Waiver is provided through Aging Services Access Points (ASAPs). ASAPs also provide other services as part of the Massachusetts Home Care Program. These programs help people served by ASAPs to keep their independence, safety, and dignity and to continue to live at home or in a community setting. Program Features You keep all your MassHealth benefits. You keep all your Medicare benefits, if applicable. You get a care plan developed for you by a team of health professionals who specialize in the care of older adults. Your care is coordinated with health and social service workers who visit you at home when needed. You get dental coverage including fillings, dentures, and crowns. You get vision and hearing-aid coverage. You get free presciption drugs. You may get personal care attendants to help you at home. You may get transportation from your home to medical appointments. You may get home-delivered meals. Program Features You keep all your MassHealth benefits. You keep all your Medicare benefits, if applicable. You get a care plan developed by a team of health professionals who specialize in the care of older adults. Your care is coordinated with health and social service workers who visit you at home when needed. You get dental coverage including fillings, dentures, and crowns. You get vision and hearing-aid coverage. You get free prescription drugs. You can go to an adult day program at the PACE center, and you can get meals there. You may get personal care attendants to help you at home. You may get transportation from your home to medical appointments. You may get home-delivered meals. Services Provided Through ASAPs Include Case management Care coordination Information and referral Home care services, including: •homemaker •personal care •home health aide •skilled nursing Home-delivered meals (Massachusetts Home Care Program only) Advocacy Caregiver supports Transportation Referrals to a range of community-based programs Where Can I Get More Information about These Programs or Providers? Eligibility These programs have different eligibility rules. To join SCO or the Frail Elder Waiver, you must meet all eligibility rules. This includes being eligible for MassHealth. To enroll in PACE or to get services as part of the Massachusetts Home Care Program, you must meet all eligibility rules, but you do not need to be eligible for MassHealth. You may be eligible for one or all of these programs. If you would like to learn more about these programs, please call the phone numbers listed in this brochure. Participation in these programs is voluntary. You may stop participating at any time.