Enrollment & Eligibility

• 55 Years of age or older
• Qualify for nursing home care according to Maryland’s Medical Assistance pre-screening program for eligibility
• Reside in the Edenbridge PACE of West Baltimore service area
• Be able to live in the community at the time of enrollment without jeopardizing his/her health or safety based on criteria set forth in the Enrollment Agreement

Edenbridge PACE program staff must explain the following information in order for the potential participant or his/her representative to make an informed decision:

• The Edenbridge PACE program, using a copy of the enrollment agreement.
• The requirement that the Edenbridge PACE program would be the participant’s sole service provider and clarification that the Edenbridge PACE program guarantees access to services, but not to a specific provider.
• A list of employees of Edenbridge PACE program who furnish care and the most current list of contracted health care providers.
• Monthly premiums, if any.
• Any Medicaid spend-down obligations.
• Post-eligibility treatment of income.
• A participant’s enrollment in the program is effective on the first day of the calendar month following the date that Edenbridge PACE receives the signed enrollment agreement.
• All participants will receive a PACE Membership Card that indicates that he or she is a PACE participant and that includes the phone number of Edenbridge PACE.
• Emergency information will be posted in his or her home identifying the individual as a PACE participant and explaining how to access emergency services.
• If there are changes in the enrollment agreement information at any time during the participant’s enrollment, Edenbridge PACE must notify the participant.
• Enrollment continues regardless of changes in health status until death, unless the participant is disenrolled voluntarily or involuntary or the participant no longer meets the Maryland PACE eligibility requirements.

The potential participant must sign a release to allow Edenbridge PACE to obtain his or her medical and  financial information and eligibility status for Medicare and Medicaid.

The Edenbridge PACE program interdisciplinary team will assess the potential participant to ensure that he or she can be cared for appropriately in a community setting.

After the participant signs the enrollment agreement, Edenbridge PACE must give the participant the  following:

• A copy of the enrollment agreement.
• A Edenbridge PACE membership card.
• Emergency information to be posted in his or her home identifying the individual as a
• Edenbridge PACE participant and explaining how to access emergency services.

We currently serve these zip codes in the Baltimore area:

21201; 21209; 21210; 21211; 21212; 21215; 21216; 21223; 21225; 21226; 21229; 21230; 21239; 21251; 21287; 21207; 21228