The Program of All-Inclusive Care for the Elderly (PACE) offers a day center with an interdisciplinary care team providing comprehensive medical and social services to beneficiaries aged 55 and older who are eligible for nursing home care but can live safely in the community. States must agree to offer PACE services to Medicaid beneficiaries as an optional benefit in order for a PACE center to operate. This model provides services at the PACE center but also in the beneficiary’s home or community. Enrollment in PACE is voluntary and beneficiaries can leave the program at any time. As of February 2018, 41,304 people were enrolled in PACE in 31 participating states (ICRC 2018). Most PACE enrollees are full-benefit dually eligible beneficiaries.
The PACE Innovation Act (P.L. 114-85) gave the Secretary of Health and Human Services the authority to test PACE-like models for additional populations.