The North Carolina PACE Association E-Newsletter
In this Issue: NC Budget & Medicaid Reform Pass, U.S. House Testimony and more
September 2015
In This Issue
NC PACE Programs
Wilmington, NC
Burlington, NC
Pittsboro, NC
Fayetteville, NC
Greensboro, NC
Newton, NC
Lexington, NC
Charlotte, NC
Durham, NC
Gastonia, NC
StayWell Senior Care
Asheboro, NC
Asheville, NC
Our Vision Statement
The Association serves as the credible voice and leader to advance PACE,
thereby transforming healthcare in North Carolina.
Education & Networking
Marketing Group
Network with your fellow PACE marketing coordinators in Greensboro on 10/2. For more information, contact Kimberley LaDue.

Adult System of Care Symposium
Co-sponsored by NC DAAS, the symposium will  help build an Adult Network of Care for older adults and adults with disabilities. Participation in this invitation-only event on 10/6 is extended to NC PACE members. More information and registration

Dementia/Alzheimer's Workshops and Webinars
Held in person and via webinar, there are several free professional development opportunities in October.

See the NC PACE website for details on these and other events.
Other Opportunities
Alzheimer's Disease Caregiving Awards
Family Caregiver Alliance recognizes
 programs that have demonstrated success and innovation in addressing the needs of caregivers and individuals living with Alzheimer's disease with $20k and an opportunity to share at an awards ceremony.
NC Legislature Passes Budget and Medicaid Reform
The NC General Assembly is scheduled to adjourn on September 30 after passing a state budget for the 2015-17 biennium and a Medicaid "Transformation" bill. Both pieces of legislation have been signed by Governor McCrory and are now law.
Dual eligibles - and thus, PACE -  are excluded from the Medicaid reform that will transition the health insurance system from fee-for-service to capitated, pre-paid health plans (PHPs). The legislation calls for a strategic plan to address duals and establishes an Advisory Committee for that purpose. Additionally, it immediately creates a Division of Health Benefits (DHB) within DHHS, which will ultimately replace DMA.
The reformed Medicaid system allows commercial MCOs, nonprofit MCOs or PLEs (provider-led entities) to create and operate the PHPs. Certain "essential providers" are designated: federally qualified health centers, rural health centers, free clinics and local health departments. The legislature did not include Medicaid expansion in the reform plan, which must be approved by the federal government (CMS).

The new North Carolina budget includes much of interest to PACE and other health care providers in addition to funding. The OPERA is definitely in our future - the new Office of Program Evaluation Reporting and Accountability is created within DHHS, based on a guide from the Pew and McArthur Foundations. A new Department of Information Technology will be established, and by early 2018, all Medicaid providers will be required to report to the new Health Information Exchange Network.
Adult day health centers (including PACE) will be allowed to seek licensure for overnight respite services , once the rules are written. Funding was restored for services through the Home and Community Care Block Grant, and the medical expense deduction was fully restored. The Office of Minority Health and funding for health disparities, once on the chopping block, survived.
North Carolina PACE Association will continue to advocate for PACE programs as all of these changes are implemented.
PACE Board Member Testifies in Congress
"PACE programs can play a big role in caring for the elderly, and I am privileged to advocate for these innovative programs on a national stage," testified Tim Clontz on behalf of National PACE Association.
" Dennis is a 59 year old diabetic who lives in the foothills of North Carolina. Prior to enrolling in PACE, he suffered a massive stroke, fell and hit his head. He was hospitalized for three months and lost 30 lbs. When he was discharged to a skilled nursing facility for rehab, his blood sugars were out of control, he required moderate assistance with activities of daily living, and walked with a walker. Dennis enrolled in PACE in February 2014 and now lives with his sister. PACE helped Dennis get his diabetes under control, improved his function to the point that he requires minimal assistance with his activities of daily living, and he uses PACE's gym and Otago Balance Program to help maintain his physical strength. Dennis is a robust member of the PACE community, and serves as President to the Participant Advisory Committee."
This is the case study of a PACE@Home  participant that Tim Clontz shared with the U.S. House Committee on Energy and Commerce, Health Subcommittee on September 18 , asking that group to support the PACE Innovation Act of 2015. The Act has already passed the U.S. Senate with unanimous consent. Our thanks again to NC Senator Richard Burr , who co-sponsored the bill, and to Representative Renee Ellmers , who has co-sponsored the House bill. 

Thanks also to Emily Jones and PACE@Home for sharing the inspirational success story.
Save the Date!
Plan to join your colleagues, 
David Beijer of  CarePartners PACE and 
Robert Dickson of  LIFE St. Joseph's of the PINES  
for North Carolina PACE Association's first 
educational and networking webinar on 
transitions from nursing facilities to PACE .

Friday, November 6
10 - 11am

David and Robert will present how their programs have handled transitions successfully, with lots of opportunity for questions and networking. Registration to come.
PACE in the News
Rep. Johnson and participant Chuck Bynum at PACE of the Triad
PACE Programs host Legislators
Programs across the state are giving legislators a first-hand look at how they provide excellent service to their constituents with program tours. Rep. Ralph Johnson  and Rep. Cecil Brockman  recently visited 
and Angela Boothe from Sen. Richard Burr's office recently visited Senior CommUnity Care in Durham.
NC PACE Association at Elder Law Conference
North Carolina PACE Association Executive Director  Linda Shaw recently presented "PACE: How Can I Use this Long-term Care Facility Alternative in my Elder Law Practice?" at the 5th Annual UnProgram of the NC Chapter of the National Academy of Elder Law Attorneys (NAELA). Our thanks to Attorney Rupe S. Gill and NAELA for the opportunity.
Ursula Robinson (PACE of the Triad), Karen McNeil-Miller, Brian Toomey & Marianne Ratcliffe (Piedmont Health Senior Care)
PACE bids farewell to Karen McNeil-Miller
Kate B. Reynolds Charitable Trust, which has generously supported North Carolina PACE Association, hosted a farewell party for President Karen McNeil-Miller who leaves to join the Colorado Health Foundation. Allen Smart, VP of Programs, will serve as interim President while Wells Fargo, the sole trustee of the Foundation, leads the search for the Trust's next President. Good luck, Karen, and thanks!
People Setting the PACE
Emily Jones has been named Program Director of PACE@Home in Newton after previously serving on an interim basis. Congratulations, Emily!

North Carolina PACE Association has posted job openings for Medical Directors, Center Manager, Administrative Coordinator, Occupational, Physical and Speech Therapists, Physicians, Medical Technicians, Registered Nurse, Nurse Practitioner, CNA/PCA, Drivers and Dietitian.

Send your personnel updates for inclusion in upcoming newsletters.