Agency for Health Care Administration

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) targets individuals who would otherwise qualify for Medicaid nursing home placement and provides them with 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.

PACE's unique delivery system provides many services through adult day care centers and case management by multi-disciplinary teams. The program is implemented in consultation with the Agency for Health Care Administration (AHCA). The PACE Program Administration is the signed three-way agreement between the state administration, the PACE organization, and the federal Centers for Medicare and Medicaid Services (CMS) 

Who is eligible for the program?

To be eligible for services through the PACE program, an individual

  • must be age 55 or older;
  • live within the defined service area of the PACE Center;
  • meet the medical eligibility requirements determined by CARES; be able to live safely in the community; and
  • be dually eligible for Medicaid and Medicare, or Medicaid-only.

PACE also has a private pay option that is not regulated by the state.

What services are provided through the program?

PACE provides primary care, social, restorative, and supportive services for Medicaid and Medicare eligible individuals who live in a PACE service area. PACE organizations provide care and services in the home, the community, the nursing facility, and in the PACE center. All Medicare and Medicaid services must be available, including the following.

Acute care services Nutritional counseling
Adult day health carePersonal care
End-of-life care servicesPrescription drugs
Home carePrimary care services (physician and nursing)
Home-delivered or congregate mealsRecreational therapy
Hospital careRestorative therapies
Laboratory tests, x-rays and other diagnostics Social services
Medical specialty services Therapy services
Medical supplies and appliancesTransportation
Nursing facility care 

How many clients does the program serve?

As of August 2023, 2,667 clients enrolled in 5,759 slots funded for PACE.

Where are PACE centers located?

PACE OrganizationService AreaSlots Funded
Volunteers Of America National Services†Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Wakulla, Walton, and Washington1,028
St. Francis Reflections†Brevard380
Kinship East†Brevard425
Florida PACEBroward150
Broward LLC†Broward120
Kinship PACE†Broward906
Hope PACECharlotte300
Hope PACECollier250
PACE Partners of NE FLDuval and Clay250
Trinity†Escambia, Okaloosa, and Santa Rosa250
Empath*Hillsborough150
Innovage†Hillsborough, Hernando, and Pasco250
BoldAge†Hillsborough, Hernando, and Pasco300
Hope PACELee100
Stratum†Manatee, Sarasota, and DeSoto200
Kinship Central FL†Marion and Polk (slots authorized for Polk only)0
Florida PACEMiami-Dade200
Mt. Sinai*Miami-Dade200
Innovage†Orange, Osceola, Lake, Sumter, and Seminole150
MorseLife PACEPalm Beach0
SuncoastPinellas0
Beacon of Life†Volusia, Flagler, and Seminole150


*PACE organizations recent completed full approval to begin enrolling participants.

†Pending federal and agency joint approval.

Note: Volunteers of America National Services has temporarily withdrawn their application. 

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. PACE organizations are paid a capitated rate for Medicare services by CMS and a capitated rate for Medicaid services by the Agency.
Fiscal Year: 2023-24
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
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
GRANTS AND AIDS TO LOCAL GOVERNMENTS AND NONSTATE ENTITIES - FIXED CAPITAL OUTLAY
GRANTS AND AIDS - SENIOR CITIZEN CENTERS
FROM GENERAL REVENUE FUND
TOTAL
186,862,489
239,449,832

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
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

Website