Interdisciplinary Team

Every enrollee will be assigned to an “interdisciplinary team” and will become a “participant” in the PACE Program. The Interdisciplinary Team will conduct a comprehensive assessment of participant’s needs and will develop a participant specific Plan of Care that will delineate the services to be provided to the participant. The participant will be reassessed every six months or sooner and a new Plan of Care will be developed. The “interdisciplinary team” has the following services/resources available for application to the participant, contingent on the Plan of Care

  • Primary Care Physician
  • Social Worker
  • Physical Therapist
  • Occupational Therapist
  • Speech Therapist
  • Recreational Therapist
  • Nursing Staff
  • Home Health Supervisor
  • Dietitian
  • Personal Care Attendant