WHAT ARE THE STEPS TO ENROLLMENT IN CEI?

INITIAL CONTACT

The first step to enrollment is to phone our outreach/intake representatives at 510-433-1150. The outreach/intake representative will take information concerning your health status and  if your needs and condition meet PACE eligibility criteria. A member of our intake team will visit you in your home, interview you about your needs and expectations and answer any questions you or your caregiver(s) might have.

 Eligibility Criteria

•  Age 55 and over
• Resident in CEI’s service area
•  Eligible for nursing facility level of care
• Able to live in a community setting without jeopardizing one’s health or safety.

 TOUR

• We will coordinate a tour of the CEI PACE site nearest your home. 
• You will see and experience many services that CEI provides. 
• You will meet other participants and members of our staff. 
• Transportation and lunch will be provided.

 ASSESSMENT

• After your tour, you will be invited to attend the PACE site for two to three days to get to know us and have your needs evaluated by each specialist on the interdisciplinary team.
• The interdisciplinary team will develop an individualized Plan of Care for you
• Transportation and lunch will be provided
• Next, you will be scheduled for an enrollment  conference.

ENROLLMENT CONFERENCE

• You, your caregiver(s) and CEI Interdisciplinary Team members will meet to review and come to an agreement about your participation in CEI. 
• You will have an opportunity to ask questions and discuss the Plan of Care recommended for you by the Interdisciplinary Team, which incorporates participant and caregiver involvement.
• You will receive your Member Enrollment Agreement Terms and Conditions, sign your Enrollment Agreement and confirm that your caregiver(s) are able to provide for your care in partnership with CEI. 
• The Interdisciplinary Team members will explain major features of the program such as:
  • Your monthly fee, if any
  • That CEI does not pay for medical care you receive outside the plan without prior authorization
  • What to do if you are unhappy with the care you receive at CEI (Participant Rights, Grievance and Appeal Policies and Procedures)
  • How to disenroll at anytime for any reason (Disenrollment Policy and Procedures)