The Program of All-Inclusive Care for the Elderly (PACE) model targets individuals who would otherwise qualify for Medicaid nursing home placement and provides a comprehensive array of home and community-based services at a cost less than nursing home care. Individuals who choose to enroll in PACE have both their medical and long-term care needs managed through a single provider.

The program's unique service delivery system provides many services at adult day care centers and uses multi-disciplinary teams to provide case management. The program is jointly administered by the Agency for Health Care Administration (AHCA) and the federal Centers for Medicare & Medicaid Services (CMS). The Department of Elder Affairs is the operating entity and therefore oversees the PACE providers.

To be eligible for services through the PACE program, an individual must be age 55 or older, live in an authorized program area, meet the medical eligibility requirements determined by CARES, and be able to live safely in the community. PACE clients can be dually eligible for Medicaid and Medicare, or Medicaid-only.

PACE providers are responsible for providing the full continuum of medical and long-term care services. The PACE provider may also provide other services deemed necessary by the interdisciplinary team to improve and/or maintain an enrollee's overall health status. Each PACE provider must operate a PACE center, which is a licensed adult day care center that provides health care and other social support services.

For more details on services provided under the program, see the Department of Elder Affairs' Summary of Programs and Services.

Each state and federally approved site has a maximum number of individuals that may receive services through PACE, or slots. For Fiscal Year 2020-21, 2,372 clients were enrolled in PACE out of 3,584 state and federally funded slots.

PACE Provider	Counties Served	Funded Slots
Florida PACE	Broward	225
Florida PACE	Miami-Dade	928
Hope Select Care PACE	Charlotte, Collier, Lee	650
PACE Place	Clay, Duval	150
New Program*	Hernando, Hillsborough, Pasco	250
New Program*	DeSoto, Manatee, Sarasota	150
Palm Beach PACE	Palm Beach	906
Suncoast PACE	Pinellas	325

 *As of November 1, 2021, the center was still in the application phase and not yet serving clients.

PACE providers receive both Medicare and Medicaid capitated payments and are responsible for providing the full continuum of medical and long-term care services. The Medicare payments are received from CMS and cover Medicare acute care and prescription drug (Part D) coverage. The capitation payment PACE providers receive from the state covers Medicaid services.

Other Reports
Reports, Department of Elder Affairs

Websites of Interest
AARP Research Center
Agency for Health Care Administration, Medicaid
Centers for Medicare and Medicaid Services, PACE
Clearinghouse for Home and Community Based Services
National PACE Association

Performance Information
Performance measures and standards for the department may be found in its Long Range Program Plan.

Title 42, U.S. Code, s. 1396u-4, Title 42, Part 460, Code of Federal Regulations; and ss. 409.979, 409.981, and 430.04, Florida Statutes.

Florida Department of Elder Affairs, Bureau of Long-Term Care and Support, 850-414-2000
Elder Helpline, 1-800-963-5337 or 1-800-955-8771 for TDD or 1-800-955-8770 for voice

Website