Skip to main content

PACE Program: All-Inclusive Care for Seniors

Program of All-Inclusive Care for the Elderly (PACE) helps seniors who qualify for nursing home care stay at home with comprehensive medical and social services. Medicare and Medicaid approved.

Last Updated: January 26, 2026 | 390 PACE providers nationwide in 34 states + DC

What Is the PACE Program?

PACE (Program of All-Inclusive Care for the Elderly) is a Medicare and Medicaid program designed to help seniors who need nursing home level care continue living at home and in their community. PACE provides comprehensive medical care, social services, and long-term care services through an interdisciplinary team approach.

Established in 1997 as a permanent Medicare benefit, PACE serves frail older adults who meet their state's criteria for nursing home admission but prefer to remain in their homes. As of 2026, there are 390 PACE provider locations across 34 states, with major concentrations in California (77 providers), Pennsylvania (50 providers), and New York (29 providers). The program combines medical care, adult day services and home care, and social support into one coordinated benefit.

Key Features of PACE

  • All-inclusive care: Medical, social services, long-term care, and prescription drugs all coordinated through one program
  • Interdisciplinary team: Doctors, nurses, therapists, social workers, dietitians, and drivers work together on your care plan
  • Adult day center: Most PACE participants attend an adult day health center several days per week for medical care, meals, activities, and socialization
  • Home-based alternative: Keeps seniors out of nursing homes by providing nursing home level care in community settings
  • No service limits: Unlike Medicare Advantage or traditional Medicare, PACE has no visit limits, authorization requirements, or service caps

Important Distinction

PACE is not a building or facility—it's a healthcare program. Participants live at home or in assisted living and receive coordinated services through a PACE organization. The adult day center is a key component but not a residential facility.

Who Is Eligible for PACE?

PACE eligibility is determined by four main criteria. You must meet all four requirements to qualify for enrollment in a PACE program.

1

Age Requirement

You must be 55 years or older. There is no upper age limit—PACE serves individuals in their 90s and 100s.

2

Geographic Location

You must live in the service area of a PACE organization. PACE programs operate in specific counties or regions. As of 2026, PACE is available in 34 states plus Washington D.C.

3

Nursing Home Level of Care

You must be certified by your state to need nursing home level of care. This means requiring substantial assistance with:

  • • Activities of daily living (bathing, dressing, eating, toileting, transferring)
  • • Medication management
  • • Chronic disease management
  • • Cognitive support
4

Safe Community Living

PACE determines you can live safely in the community with their services. This assessment considers your home environment, support system, and willingness to participate in the program (especially day center attendance).

Insurance Requirements

You must be eligible for one of the following:

  • Medicare only: You pay a monthly premium for PACE services
  • Medicaid only: No premium, no out-of-pocket costs
  • Both Medicare and Medicaid: No premium, no out-of-pocket costs
  • Private pay: Some PACE programs accept participants with neither Medicare nor Medicaid (monthly fee applies)

Who Is NOT Eligible for PACE?

  • Individuals under age 55
  • Those who do not meet nursing home level of care criteria
  • People living outside PACE service areas
  • Individuals who cannot safely remain in community settings (severe behavioral issues, require 24/7 nursing supervision)
  • Those unwilling to use PACE providers exclusively (cannot keep outside doctors)

What Services Does PACE Cover?

PACE provides all Medicare-covered and Medicaid-covered services, plus additional services as determined by the interdisciplinary team. There are no coverage limits, prior authorizations, or service caps.

Comprehensive Services Included

Medical Care

  • Primary care physician visits
  • Medical specialist consultations
  • Hospital care (inpatient and outpatient)
  • Emergency care
  • Laboratory tests and X-rays
  • Prescription medications
  • Medical equipment and supplies

Long-Term Care Services

  • Adult day care services
  • Home care (personal care assistance)
  • Skilled nursing at home
  • Nursing home care when needed
  • Respite care for family caregivers
  • Hospital bed, wheelchair, walker
  • Home modifications

Therapy & Support Services

  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Recreational therapy
  • Social services and counseling
  • Nutritional counseling
  • Mental health services

Additional PACE Benefits

  • Meals: Nutritious meals provided at day center and home-delivered meals as needed
  • Transportation: All medical appointments, day center, pharmacy, and errands
  • Dental care: Routine cleanings, dentures, and restorative work
  • Vision care: Eye exams, glasses, cataract surgery
  • Hearing care: Hearing aids, exams, batteries
  • Social activities: Recreation, exercise classes, outings, holiday celebrations
  • Caregiver support: Training, counseling, respite care for family members
  • Care coordination: One team manages all care, schedules appointments, handles paperwork

The Adult Day Health Center

The PACE adult day health center is the hub of the program. Most participants attend the center 2-5 days per week, typically from 9am to 4pm. The center provides:

  • Medical services: Doctor visits, nurse monitoring, medication management, therapies
  • Two meals: Hot lunch and snacks tailored to dietary needs
  • Personal care: Bathing, grooming, assistance as needed
  • Social activities: Games, crafts, music, exercise, outings
  • Transportation: Door-to-door service in wheelchair-accessible vehicles

How Much Does PACE Cost?

PACE cost depends on your Medicare and Medicaid eligibility. The program is designed to be affordable for low-income seniors while also accepting Medicare-only and private pay participants.

2026 PACE Costs

Medicaid Recipients

$0

If you have Medicaid (with or without Medicare), PACE is completely free. No premiums, no deductibles, no copayments, no coinsurance.

What's included: All medical care, prescriptions, long-term care services, meals, transportation, and day center attendance at no cost.

Medicare Only (No Medicaid)

~$5,800/mo

If you have Medicare but not Medicaid, you pay a monthly premium that covers the cost of long-term care services not covered by Medicare.

  • Premium range: $4,500-$7,000/month (varies by location and PACE organization)
  • Part D drug premium: Additional monthly charge for prescription coverage
  • No other costs: No deductibles, copays, or coinsurance for any PACE services

Private Pay (No Medicare or Medicaid)

Some PACE programs accept private pay participants who don't qualify for Medicare or Medicaid. This is rare and availability varies by PACE organization.

Typical cost: $6,000-$9,000 per month depending on location and services used. Contact specific PACE programs in your area to ask about private pay options.

Cost Comparison

Care TypeAverage Monthly Cost (2026)What's Included
PACE (Medicaid)$0All medical, long-term care, medications, meals, transportation
PACE (Medicare only)$5,800All medical, long-term care, medications, meals, transportation
Nursing Home$10,96524/7 care, meals, housing, medical care
Assisted Living$5,900Housing, meals, personal care (medical care separate)
Home Care (30 hrs/week)$3,900Personal care only (medical care, housing separate)

Value Proposition

For Medicare-only participants, PACE costs about half of nursing home care while allowing you to remain at home. For Medicaid recipients, PACE provides comprehensive care at no cost—an exceptional value compared to piecing together home care, medical care, and transportation separately. Compare with other senior care funding options.

Pros and Cons of PACE

PACE is an excellent fit for some seniors but not right for everyone. Consider these advantages and limitations when deciding if PACE meets your needs.

Advantages of PACE

  • Stay at home: Avoid nursing home placement while receiving nursing home level care
  • Comprehensive care: All medical, social, and long-term care needs met through one program
  • Coordinated team: No need to manage multiple doctors, agencies, or appointments—PACE handles everything
  • No service limits: Receive as much care as you need without authorization hassles
  • Social engagement: Regular day center attendance combats isolation and loneliness
  • Caregiver relief: Family caregivers get substantial support and respite
  • Free for Medicaid: No costs if you have Medicaid eligibility
  • Preventive focus: Proactive care prevents hospitalizations and health declines

Limitations of PACE

  • Must use PACE providers: Cannot keep your current doctors or specialists outside the PACE network
  • Day center attendance required: Most participants must attend the adult day center several days per week
  • Limited availability: Only available in 34 states and specific service areas within those states
  • Transportation schedule: Day center attendance follows PACE schedule, not necessarily your preference
  • Enrollment caps: Some PACE programs have waiting lists due to capacity limits
  • Nursing home level required: If your care needs are less intensive, you won't qualify
  • Medicare-only premium: Can be expensive if you don't have Medicaid ($4,500-$7,000/month)

Is PACE Right for You?

PACE works best for seniors who:

  • • Need significant daily care and support but want to avoid nursing homes
  • • Value social interaction and would enjoy day center activities
  • • Are comfortable with a structured program and schedule
  • • Are willing to transition to PACE doctors and specialists
  • • Have Medicaid or need comprehensive care coordination
  • • Have family caregivers who need support and respite

PACE may not be ideal if you highly value independence, want to maintain your current medical providers, prefer to stay home most days, or have relatively minimal care needs. Consider alternatives like assisted living or home care services.

How to Find and Enroll in PACE

Step 1: Find PACE Programs Near You

Use the National PACE Association directory to locate PACE organizations serving your area:

PACE Finder Resources

  • National PACE Association: www.npaonline.org/pace-you/find-pace-program

    Enter your ZIP code to find PACE organizations in your area

  • Medicare PACE Locator: Call 1-800-MEDICARE (1-800-633-4227)

    Medicare representatives can identify PACE programs near you

  • State Medicaid Office: Contact your state's Medicaid program

    Medicaid offices maintain lists of PACE providers in their state

Step 2: Contact PACE Organizations

Once you identify PACE programs in your area, call to schedule an informational meeting. During this meeting, you'll:

  • • Learn about the specific PACE program's services and day center
  • • Tour the adult day health center facility
  • • Meet some of the interdisciplinary team members
  • • Discuss your care needs and whether PACE is a good fit
  • • Review costs (if Medicare-only) and payment options
  • • Understand transportation schedules and service area boundaries

Step 3: Undergo Eligibility Assessment

If you decide to proceed, PACE will conduct a comprehensive assessment to determine eligibility:

Assessment Process

  1. 1.
    Medical evaluation: Physician assesses your medical conditions, medications, and care needs
  2. 2.
    Functional assessment: Evaluation of activities of daily living (bathing, dressing, eating, mobility, toileting)
  3. 3.
    Cognitive evaluation: Screening for memory issues or dementia
  4. 4.
    Home environment review: Assessment of your living situation and safety
  5. 5.
    Social situation: Evaluation of family support, caregiver availability, and social needs
  6. 6.
    State certification: Documentation submitted to state for nursing home level of care determination

The assessment typically takes 2-3 hours and can be done at your home, at the PACE center, or a combination of both. PACE social workers and nurses will help gather necessary medical records and documentation.

Step 4: Enrollment and Transition

Once approved for eligibility, enrollment usually occurs within 30 days:

Complete Enrollment Paperwork

Sign enrollment agreement, Medicare/Medicaid assignment forms, and consent forms. PACE staff will help you understand all documents.

Transfer Medical Care

PACE requests medical records from your current providers. You'll be assigned a PACE primary care physician and meet your interdisciplinary team.

Develop Care Plan

The team creates an individualized care plan addressing your medical, functional, social, and personal needs. This plan is reviewed and updated regularly.

Start Day Center Attendance

Begin attending the adult day health center according to your care plan schedule (typically 2-5 days per week). Transportation picks you up at home.

Ongoing Support

PACE continues coordinating all aspects of care, adjusting services as needs change, and providing 24/7 access to the care team.

Trial Period

Most PACE programs offer a trial period (typically 30-90 days) during which you can decide if the program works for you. If PACE isn't a good fit, you can disenroll and return to Original Medicare and other care arrangements without penalty.

Find PACE Programs Near You

Use the interactive map below to find PACE organizations in your state. Click on any state to see the complete list of PACE programs, including contact information and addresses. For additional state-specific senior care resources, visit our local resources directory.

Find PACE Programs by State

Hover to see provider counts. Click on a state to view PACE providers. PACE is available in 34 states + DC (390 providers nationwide).

States with PACE
Selected State
No PACE Available

Select a State to View PACE Programs

Click on any state with PACE availability (shown in gray) on the map above to see the complete list of PACE organizations serving that state.

PACE Availability by State (2026)

As of 2026, PACE operates in 34 states plus Washington D.C. Availability within states varies—some states have multiple PACE organizations while others have only one or two programs serving limited counties.

States with PACE (34 states + DC)

  • • Alabama
  • • Arkansas
  • • California
  • • Colorado
  • • Delaware
  • • Florida
  • • Illinois
  • • Indiana
  • • Iowa
  • • Kansas
  • • Kentucky
  • • Louisiana
  • • Maryland
  • • Massachusetts
  • • Michigan
  • • Missouri
  • • Nebraska
  • • New Jersey
  • • New Mexico
  • • New York
  • • North Carolina
  • • North Dakota
  • • Ohio
  • • Oklahoma
  • • Oregon
  • • Pennsylvania
  • • Rhode Island
  • • South Carolina
  • • Tennessee
  • • Texas
  • • Virginia
  • • Washington
  • • Washington D.C.
  • • Wisconsin

Limited Service Areas

Even within states that have PACE, programs serve specific geographic areas (usually counties or regions). Use the PACE finder to determine if your address falls within a service area. If you live outside all PACE service areas, you'll need to consider alternative care options.

Frequently Asked Questions About PACE

What does PACE stand for?

PACE stands for Program of All-Inclusive Care for the Elderly. It is a Medicare and Medicaid program that provides comprehensive medical care and social services to help seniors who qualify for nursing home care remain living at home in their community.

Who is eligible for PACE?

To qualify for PACE, you must be 55 years or older, live in a service area where a PACE program operates, need nursing home level of care as certified by your state, and be able to live safely in the community with PACE services. You must also be eligible for Medicare, Medicaid, or both.

How much does PACE cost?

If you have Medicaid, there is no premium, deductible, or copayment for PACE services. If you have Medicare only (not Medicaid), you pay a monthly premium for long-term care services (typically $4,500-$7,000/month) and a premium for Part D drugs, but no deductibles or copayments. Private pay options exist for those with neither Medicare nor Medicaid.

What services does PACE cover?

PACE covers all Medicare and Medicaid services including:

  • • Primary care, specialists, hospital care, emergency services
  • • Prescription drugs, medical equipment, laboratory tests
  • • Adult day care, home care, nursing home care when needed
  • • Physical, occupational, and speech therapy
  • • Social services, mental health services, nutritional counseling
  • • Dental, vision, and hearing care
  • • Transportation to all medical appointments and day center
  • • Meals at day center and home-delivered meals as needed

Can I keep my own doctor with PACE?

No, you must use PACE doctors and providers. PACE participants receive care exclusively from the PACE program's interdisciplinary team. This requirement allows the team to coordinate all aspects of your care, which is central to the PACE model. If maintaining your current providers is important to you, PACE may not be the right fit.

How many PACE programs are there?

As of 2026, there are approximately 155 PACE organizations operating in 34 states plus Washington D.C., serving over 65,000 participants nationwide. PACE availability varies significantly by location, with many states having no PACE programs and others having multiple options.

Do I have to attend the adult day center?

Yes, most PACE participants are required to attend the adult day health center several days per week (typically 2-5 days). The day center is where you receive medical care, therapies, meals, and social activities. Exceptions may be made for individuals who are homebound, but regular participation is generally expected and beneficial.

Can I try PACE before fully committing?

Yes, most PACE programs offer a trial period (typically 30-90 days) during which you can participate in the program and determine if it meets your needs. If PACE isn't a good fit, you can disenroll and return to Original Medicare and other care arrangements without penalty during this trial period.

What happens if I need to move to a nursing home?

If your care needs increase to the point where you require 24/7 nursing care, PACE will arrange and coordinate your nursing home placement. PACE continues to manage all aspects of your care in the nursing home, and you remain enrolled in the PACE program. For Medicaid participants, all nursing home costs are covered at no charge.

Can I disenroll from PACE if I don't like it?

Yes, you can voluntarily disenroll from PACE at any time. You'll return to Original Medicare and will need to arrange separate Medicaid services (if applicable), find new doctors, and coordinate your own care. PACE can also involuntarily disenroll participants who move out of the service area, no longer meet eligibility criteria, or disrupt the program environment.

Learn More About Senior Care Funding Options

PACE is just one of many ways to pay for senior care. Explore comprehensive guides to Medicaid, VA benefits, Medicare, and other funding sources. Need help navigating care options? Our caregiver support resources can help.

Sources