OPPAGA text logo with graphic of FL historic capitol
OPPAGA text logo with graphic of FL historic capitol

Department of Elder Affairs

Program of All-Inclusive Care for the Elderly (PACE)

What is the purpose of the program?

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.

Who is eligible for the program?

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.

What services are provided through the program?

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.

How many clients does the program serve?

Each state and federally approved site has a maximum number of individuals that may receive services through PACE.  For Fiscal Year 2019-20, the legislature has funded enrollment of 2,768 individuals statewide, an increase from the funded enrollment for 2,565 individuals statewide in Fiscal Year 2018-19. During Fiscal Year 2018-19, the department served 2,180 PACE enrollees statewide.

Where are PACE centers located?

 PACE Centers 
  • Florida PACE serves Broward and Miami-Dade counties.
  • Palm Beach PACE serves Palm Beach County.  
  • Hope PACE serves Lee, Charlotte, and Collier counties.       
  • Suncoast PACE serves Pinellas County.
  • PACE Place serves Duval and Clay Counties as of March 1, 2020.  
  • Cornerstone PACE has a pending application to serve Orange County as of June 2020.

How are these activities funded?

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. Each PACE center must be specifically authorized by the Florida Legislature, and any approved enrollment slots must be funded through the legislative budget process.
Fiscal Year: 2020-21
Fund Salary Rate/ Position General Revenue Trust Funds
SALARY RATE
POSITIONS
SALARIES AND BENEFITS
FROM GENERAL REVENUE FUND
FROM FEDERAL GRANTS TRUST FUND
FROM OPERATIONS AND MAINTENANCE TRUST FUND
OTHER PERSONAL SERVICES
FROM GENERAL REVENUE FUND
FROM FEDERAL GRANTS TRUST FUND
FROM OPERATIONS AND MAINTENANCE TRUST FUND
EXPENSES
FROM GENERAL REVENUE FUND
FROM FEDERAL GRANTS TRUST FUND
FROM OPERATIONS AND MAINTENANCE TRUST FUND
OPERATING CAPITAL OUTLAY
FROM GENERAL REVENUE FUND
FROM FEDERAL GRANTS TRUST FUND
FROM OPERATIONS AND MAINTENANCE TRUST FUND
SPECIAL CATEGORIES
AGING AND ADULT SERVICES TRAINING AND EDUCATION
FROM FEDERAL GRANTS TRUST FUND
SPECIAL CATEGORIES
GRANTS AND AIDS - ALZHEIMER'S DISEASE INITIATIVE
FROM GENERAL REVENUE FUND
SPECIAL CATEGORIES
GRANTS AND AIDS - COMMUNITY CARE FOR THE ELDERLY
FROM GENERAL REVENUE FUND
FROM FEDERAL GRANTS TRUST FUND
FROM OPERATIONS AND MAINTENANCE TRUST FUND
SPECIAL CATEGORIES
GRANTS AND AIDS - HOME ENERGY ASSISTANCE
FROM FEDERAL GRANTS TRUST FUND
SPECIAL CATEGORIES
GRANTS AND AIDS - OLDER AMERICANS ACT PROGRAM
FROM GENERAL REVENUE FUND
FROM FEDERAL GRANTS TRUST FUND
SPECIAL CATEGORIES
CONTRACTED SERVICES
FROM GENERAL REVENUE FUND
FROM FEDERAL GRANTS TRUST FUND
FROM GRANTS AND DONATIONS TRUST FUND
FROM OPERATIONS AND MAINTENANCE TRUST FUND
SPECIAL CATEGORIES
GRANTS AND AIDS - CONTRACTED SERVICES
FROM GENERAL REVENUE FUND
FROM FEDERAL GRANTS TRUST FUND
FROM OPERATIONS AND MAINTENANCE TRUST FUND
SPECIAL CATEGORIES
RISK MANAGEMENT INSURANCE
FROM GENERAL REVENUE FUND
SPECIAL CATEGORIES
CORONAVIRUS (COVID-19) - PUBLIC ASSISTANCE - STATE OPERATIONS
FROM FEDERAL GRANTS TRUST FUND
SPECIAL CATEGORIES
LEASE OR LEASE-PURCHASE OF EQUIPMENT
FROM GENERAL REVENUE FUND
FROM FEDERAL GRANTS TRUST FUND
FROM OPERATIONS AND MAINTENANCE TRUST FUND
SPECIAL CATEGORIES
TRANSFER TO DEPARTMENT OF MANAGEMENT SERVICES - HUMAN RESOURCES SERVICES PURCHASED PER STATEWIDE CONTRACT
FROM GENERAL REVENUE FUND
FROM FEDERAL GRANTS TRUST FUND
FROM OPERATIONS AND MAINTENANCE TRUST FUND
SPECIAL CATEGORIES
PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)
FROM GENERAL REVENUE FUND
FROM OPERATIONS AND MAINTENANCE TRUST FUND
GRANTS AND AIDS TO LOCAL GOVERNMENTS AND NONSTATE ENTITIES - FIXED CAPITAL OUTLAY
GRANTS AND AIDS - EASTER SEALS CAPITAL IMPROVEMENT
FROM GENERAL REVENUE FUND
GRANTS AND AIDS TO LOCAL GOVERNMENTS AND NONSTATE ENTITIES - FIXED CAPITAL OUTLAY
GRANTS AND AIDS - SENIOR CITIZEN CENTERS
FROM GENERAL REVENUE FUND
TOTAL
150,548,339
197,295,778

Updates

PACE Expansion.  The 2020 Legislature appropriated a total of $6.26 million to fund additional PACE slots in several counties, including

  • $1.58 million for 50 PACE slots in Baker, Clay, Duval, Nassau, and St. Johns counties;
  • $1.58 million for 50 PACE slots in Martin County;
  • $1.8 million for 50 PACE slots in Palm Beach County; and
  • $1.3 million for 53 PACE slots in Miami-Dade County.

Where can I find related OPPAGA reports?

A complete list of related OPPAGA reports is available on our website.

Where can I get more information?

Other Reports
PACE Program Capitation Rate Development, Milliman, August 14, 2013.
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.

What are the applicable statutes?

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.

Whom do I contact for help?

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

 
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