For Health Care Professionals

Providence ElderPlace is a PACE program here in Washington state. PACE delivers a new system of care for older adults that is designed to keep individuals as active and healthy in their communities for as long as possible. Learn more about PACE (leaving Elderplace website).

Providence ElderPlace serves a variety of medial and social needs – such as physician care, rehabilitation, social interaction and even transportation – all in one place so individuals can remain in their community.

Providence ElderPlace delivers a new system of care for older adults. The goal of Providence ElderPlace is to keep clients as active and healthy in their communities as long as possible by providing a wide range of health and social services. Clients at Providence ElderPlace have a team of professionals acting together to provide these services. This includes doctors, personal care assistants, social workers, physical and occupational therapists, and other health care professionals. The Providence ElderPlace team works together to do everything possible to keep participants out of hospitals and nursing homes.

Most participants attend the Providence ElderPlace Center on a regular basis and round trip transportation is provided. When participants go to the ElderPlace center, they:

  • Can be seen by the Providence ElderPlace provider or nursing staff.
  • Talk to a social worker.
  • Participate in different recreational activities.
  • May receive physical or occupational therapies.
  • Pick up medications.
  • Have lunch.

People who enroll in our program are asked to change their primary care provider to one of the Providence ElderPlace primary care providers. We understand that changing your doctor might be a difficult decision. The benefit to our participants is that our primary care providers have a lighter case load which often gives them more time to listen. They are able to get to know their patients very well in a shorter period of time and truly understand each patient's individual needs.

 

PACE programs are designed to serve older adults who live in the community. Clients may reside in their own home or with their families, or in licensed residential facilities. We seek to begin providing services prior to the need for 24-hour supervision so that the client can benefit from preventive services in their own homes and enjoy the highest quality of life possible.

The following situations are indicators that an individual may benefit from enrolling at Providence ElderPlace:

  • Fragmented medical care and supportive services
  • Recent hospitalization due to illness or injury, resulting in decreased function
  • Frequent falls
  • A degenerative, long-term prognosis that the existing service delivery system has been unable to address
  • Non-Medicaid covered needs that can be addressed by the PACE provider, whereby the end result prevents a nursing facility placement (e.g. occupational therapy, physical therapy, speech therapy)
  • Socially isolated or living alone with diagnosed dementia
  • Missed medical appointments
  • Involved in a day health program, but missing attendance days due to medical frailty or other circumstances
  • Having difficulties with medication management
  • Medically compromised with a diagnosed mental illness
  • Requiring extensive time commitment by case manager to insure client health and safety
Referral process

If you are interested in making a referral to Providence ElderPlace simply call 206-320-5325 and ask to speak to the intake representative.

  • ElderPlace will call client/family to explain services and set up an appointment time for either a visit to the center or a home visit.
  • The intake representative can conduct a home visit and explain the program in depth as well as provide written materials about services and benefits.
  • If the client is interested in visiting the center, ElderPlace can provide round-trip transportation. The social visit consists of a tour of the facility by the intake representative and meeting the ElderPlace staff. You will have the opportunity to ask questions and get a better understanding of the program.
  • If the client would like to enroll, a start date is coordinated between client and/or family, case manager/social worker if applicable, the discharging entity if applicable, and ElderPlace.
  • What is the advantage of referring my client to Providence ElderPlace?

    Providence ElderPlace is able to provide your client with highly integrated, holistic case management services. The entire Providence ElderPlace team of health and social service professionals acts together as one case management entity. Together the team develops the individualized care plan for each client and has the resources to oversee and carry out the plan of care.

  • Who is the most appropriate client to refer to Providence ElderPlace?

    The PACE model of long-term care is designed to serve older adults who are living in the community who functionally meet the COPES level of care as determined by a social worker from Department of Social and Health Services.

  • If my clients join Providence ElderPlace, do they need to attend the day health program?

    No. Participation in the Day Health program is optional. Upon enrollment, the Providence ElderPlace team of health and social service professionals will designate a regular attendance schedule for your clients. However, clients have the option of canceling their attendance if they are medically stable. Clients will need to come to the Providence ElderPlace center for medical care and possibly for other services. Regular attendance upon initial enrollment is highly encouraged, since the Providence ElderPlace team needs to get to know your clients to provide good care.

  • Does Providence ElderPlace ever accept clients younger than 55?

    No. The age limit is mandated by federal regulations.

  • What if my clients do not want to change their primary care provider?

    People who enroll in our program are asked to change their primary care provider to one of the Providence ElderPlace primary care providers. We understand that changing your doctor might be a difficult decision. The benefit to our participants is that our primary care providers have a lighter case load which often gives them more time to listen. They are able to get to know their patients very well in a shorter period of time and truly understand each patient's individual needs.

  • What happens if my client joins ElderPlace and doesn’t like it?

    Providence ElderPlace is a program of choice. Participants who are unhappy with our services have the option of leaving the program and returning to their former services and providers. Medicaid participants who wish to leave ElderPlace sign a disenrollment form, which is submitted to Home & Community Services. The ElderPlace Social Worker is available to assist with discharge planning.

  • How does funding work at Providence ElderPlace?

    ElderPlace receives a capitated amount of money from the state (for clients with Medicaid) and federal government (for clients who have Medicare). Individuals who are not financially eligible for Medicaid but meet other eligibility criteria may choose to pay privately. Please call the Intake Representative at 206-320-5325 for further information.

  • What happens if my clients are currently enrolled with another insurance plan?

    Your clients will need to disenroll from their current insurance plan to enroll with Providence ElderPlace. The ElderPlace Intake Representative can assist you with this process and coordinate the timing to ensure there is no gap in your client's service and coverage.

  • For Medicaid clients: Does Providence ElderPlace pay Individual Providers (IP’s)?

    Yes. ElderPlace can pay IPs at the state rate. However, ElderPlace cannot guarantee that an IP who previously worked on an hourly basis for COPES clients will retain the same number of work hours. IPs must undergo a criminal background check and sign a contract with Providence ElderPlace. Like all services provided to participants, the IP is paid out of the Providence ElderPlace capitated rate.

Webpage is current as of 11/7/2019