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provider, a section 501(c)(3) health maintenance organization
providing long-term care to the elderly funded through medicaid
and medicare payments. ElderPlace is part of a demonstration
project the purpose of which is to determine whether a private
concern can provide the same services as medicaid and medicare at
less cost in Government funds.4 Although about 94 percent of
ElderPlace enrollees are medicaid eligible, ElderPlace also has
clients who are not medicaid eligible and clients who are not
referred by the State.
Under the partnership agreement, ASD and ElderPlace "[work]
together to address the needs of older adults in Multnomah
County."
The partnership agreement provides that persons who elect to
participate in the ElderPlace program must agree to receive all
their health and long-term care services exclusively from
4The ElderPlace program operates under provisions that allow
States at their option to seek a Federal waiver of certain
medicaid and medicare requirements in order to underwrite adult
foster home care at a rate cheaper than that for the
institutional care that they would otherwise need. The
provisions had their inception with the "On LOK" program. See
Social Security Amendments of 1983, Pub. L. 98-21, sec. 603(c),
97 Stat. 65, 168, amended by: (a) Consolidated Omnibus Budget
Reconciliation Act of 1985, Pub. L. 99-272, sec. 9220, 100 Stat.
82, 183; (b) Omnibus Budget Reconciliation Act of 1986, Pub. L.
99-509, sec. 9412(b), 100 Stat. 1874, 2063; (c) Omnibus Budget
Reconciliation Act of 1987, Pub. L. 100-203, sec. 4118(b), (g),
101 Stat. 1330, 1330-155 and 1330-156; and (d) Balanced Budget
Act of 1997, Pub. L. 105-33, sec. 4801, 111 Stat. 251, 528,
codified at 42 U.S.C. sec. 1395eee (1994 & Supp. III 1997) as the
Programs of All-Inclusive Care for the Elderly (PACE).
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Last modified: May 25, 2011