LIFE

A PACE Program

LIFE

LIFE – Living Independently for Elders – is Catholic Health's PACE, or Program of All-inclusive Care for the Elderly. 

This is an adult care program for participants that still live at home, but may also be in need of more supervised care. Most seniors are hesitant to give up their independence, but also need assistance to take care of themselves, participate in day-to-day activities, and remain feeling safe and secure. 

LIFE offers both recreational and social activities for its participants. This allows adults to maintain a healthy and engaging lifestyle, while receiving personal care and supervision during the day. 

Another advantage is that the Catholic Health team coordinates all medical care for participants of the LIFE program. Primary care services are provided by an on-site physician who is available at both of our locations. For comfort and convenience, medical services may also be provided in the participant's home or at an off-site location. Transportation to and from medical appointments is included. 

Catholic Health's LIFE program is the right kind of care for older adults, made available at just the right time. If you think you or someone you love may benefit from community-based care, give us a call today. 

LIFE Center Locations 

As a LIFE member, you will have access to the services provided at both of our locations: The LIFE Center in Lackawanna, located on the campus of the OLV Senior Neighborhood; and the newly remodeled LIFE Center on the Villa Maria Campus in Cheektowaga. 

How often you visit the center and the duration of your visit depends on your personal circumstances and medical needs. Visits typically range from one to five days per week.

Both LIFE Center locations are open Monday through Friday, from 8:30 a.m. to 4:30 p.m.

Services at the LIFE Center include:

  • Physician services
  • Nursing
  • Rehabilitation therapies (physical, occupational and speech therapies)
  • Social work services
  • Spiritual care
  • Nutritional services
  • Personal care, such as showering or bathing  
  • Recreational and educational activities
  • Round-trip transportation to and from the center 
  • Language Assistance Notice

Provider Network

Our network includes Western New York specialists who provide care at their office locations. They offer: 

Outpatient Medical Services

  • Medical specialty services, such as cardiology and ophthalmology
  • Dental care
  • Mental health services
  • Eye care, including exams and glasses
  • Foot care
  • Hearing exams and hearing aids
  • Alcohol and substance abuse services
  • Diagnostic tests and lab services

Transportation to and from appointments is provided. Aides may accompany patients to their appointments if necessary.

Hospital Inpatient & Emergency Services

Home Health Care

  • Nursing, rehabilitation therapies, social work and home health aide and personal care services
  • Consumer Directed Services (CDPAS) 
  • Durable medical equipment and all needed supplies

Nursing Home Services

  • Short-term rehabilitation
  • Respite
  • Long-term care, if needed

Prescription Drugs (delivered to participants' homes via courier)

Care Providers

Primary care services are provided by the primary care providers at our health clinic. If care is needed in a hospital or from a specialist, members are required to use a physician or hospital in our provider network.

If you are currently receiving care from someone who is not in our network of providers, we will coordinate any changes so that you continue to receive the care you need with our network providers when you join the program.

Eligibility

You may be eligible to join LIFE if you are:

  • Age 55 or older
  • Resident of Erie County.
  • Eligible for Medicare and / or Medicaid, or willing and able to pay the portion of the LIFE premium that is not covered by the participant’s insurance
  • Uniform Assessment System (UAS) completed by New York State to determine eligibility for nursing facility level of care
  • In need of the long term care services of the plan for at least 120 days.
  • Able to live safely in the community with the services of the plan

Health Coverage and Costs

We cover all services that are paid for by Medicare and/or Medicaid. You will receive a LIFE insurance membership card, which tells other providers that you have chosen to join the program.

Membership Costs

We pay for all authorized services for patients eligible for both Medicare and/or Medicaid.

If you do not have Medicaid or if you are completely private pay, you will be charged a monthly premium. We will be happy to explain costs, if there are any, when we meet with you.

Catholic Health LIFE participants may be held liable for costs for unauthorized or out-of-network services.

How to Enroll

If you are interested in finding out more information to become a member, we can be reached toll free at 1-855-671-3341, locally at (716) 819-5433, or TTY (716) 819-5227.

After we receive your call:

  1. We will schedule a visit either at your home or at our center for a tour. During this visit, you will meet with a member of the Catholic Health LIFE intake team and will be provided with our enrollment guide book and provider list. The intake staff will provide an overview of services and answer any questions you may have.
  2. If you have active Medicaid and meet the basic criteria of age and residence within Erie County, you will be referred to Maximus - New York Medicaid Choice (NYMC)/CFEEC to determine eligibility for nursing facility level of care and/or Community Based Long Term Care Services. To schedule an assessment with the Conflict Free Evaluation and Education Center (CFEEC), please call 1-855-222-8350
  3. If you are deemed eligible by New York Medicaid Choice and you would like to pursue enrollment with Catholic Health LIFE PACE, we will schedule an intake assessment in your home.
  4. Next, you will meet with members of the Catholic Health LIFE Interdisciplinary Team and they will develop a plan of care specific to your needs.
  5. If you are eligible and choose to enroll, you will sign an enrollment agreement. Your membership usually becomes effective on the first day of the month after the enrollment is completed.

Membership is voluntary. If you choose to end your membership, the LIFE team will work with you to insure a smooth transition of your health insurance and health related services. For further details regarding your rights after disenrollment, please follow the link below:

Post Disenrollment Fact Sheet (PDF)

Submit a Grievance

If you have a complaint or concern regarding the care you or a patient is receiving please complete and submit a Catholic Health LIFE Program Grievance Form 1603C.

LIFE Grievance and Appeal Fact Sheet (PDF)

LIFE Grievance Form (PDF)

LIFE Appeal Form (PDF)

Appointment of Representative

If you would like someone to represent you in your dealings with Medicare, you must sign and submit a written statement to Social Security. You may use Appointment of Representation CMS Form 1696 for this purpose.

Appointment of Representation CMS Form 1696 (PDF)

Non-Discrimination Statement

To view our non-discrimination statement click here.

Website is pending CMS review
Updated 10/29/19