PACE (Program of All-Inclusive Care for the Elderly)¶
Integrated Medicare and Medicaid managed care program providing full medical and long-term services and supports for nursing-home-eligible adults age 55 and older who live at home or in the community. An interdisciplinary team at a PACE center delivers adult day health care, in-home care, primary and specialty care, and explicit caregiver training and support — one of the few fully integrated caregiver-relief benefits in federal programs.
PACE provides comprehensive medical and social services to certain frail, community-dwelling older adults, most of whom are dually eligible for Medicare and Medicaid. An interdisciplinary team coordinates care, and the comprehensive service package is intended to help participants remain in the community rather than receive nursing-home care. Medicare materials describe PACE services as including adult day care, home care, primary care, prescription drugs, personal care/support services, social services, transportation to and from the PACE center and medical appointments, and other services the team approves. Eligibility requires age 55 or older, residence in a PACE organization's service area, state certification for nursing-home level of care, and ability to live safely in the community with PACE support at enrollment. Medicaid enrollees do not pay a monthly PACE premium; Medicare-only enrollees pay premiums for the long-term care part of the benefit and Part D drugs, but approved PACE services have no deductible, copayment, or coinsurance.
Eligibility¶
- Care recipient age: at least 55
Services¶
PACE provides comprehensive medical and social services to certain frail, community-dwelling older adults, most of whom are dually eligible for Medicare and Medicaid. An interdisciplinary team coordinates care, and the comprehensive service package is intended to help participants remain in the community rather than receive nursing-home care. Medicare materials describe PACE services as including adult day care, home care, primary care, prescription drugs, personal care/support services, social services, transportation to and from the PACE center and medical appointments, and other services the team approves. Eligibility requires age 55 or older, residence in a PACE organization's service area, state certification for nursing-home level of care, and ability to live safely in the community with PACE support at enrollment. Medicaid enrollees do not pay a monthly PACE premium; Medicare-only enrollees pay premiums for the long-term care part of the benefit and Part D drugs, but approved PACE services have no deductible, copayment, or coinsurance.
How to apply¶
Use the official program page for application details: official program page.