Page Reviewed / Updated – May 06, 2021

Medicare PACE is not a source of funds for paying for senior care. Rather, it is an optional program that covers all of a participating senior’s medical needs as well as some personal care. The program is open to both Medicare and Medicaid beneficiaries. It provides comprehensive medical and social services at home, adult day health centers, and inpatient facilities as an alternative for those who would otherwise need nursing home care.

All of a patient’s medical needs are determined and provided by a set group of medical service providers. This includes medications and medically-necessary transportation.

This model of care is sometimes referred to as Managed Care at Home, and in certain states, PACE Programs are called LIFE Programs. PACE is an acronym for Programs of All-inclusive Care for the Elderly and LIFE is an acronym for Living Independence for the Elderly.

Pros & Cons of Medicare PACE and LIFE Programs

PACE programs are intended for families that wish to have the care recipient live at home instead of in a skilled nursing home / facility. Participating families are expected to provide some personal care themselves and not rely entirely on the program for 24-hour care. But if a PACE program can no longer safely support the care of an enrolled participant at home or in adult day care, the program will pay for care in a skilled nursing home.

PACE programs are a very good option for families that are able to provide some level of care. Unfortunately, as of May 2021, PACE programs were not available nationwide. Currently there are PACE / LIFE Programs at 272 locations spread through 30 states. Another drawback to this program is that seniors must give up their primary care physician to enroll in the program. Finally, in some areas it can take many months to apply and have the application processed before enrollment.

Did You Know? Almost 50% of individuals enrolled in PACE have a diagnosis of dementia?

Qualifications for PACE/LIFE Programs for PACE Programs

  • Age – participants must be at least 55 years old.
  • Disabilities / Health- participants must require the level of care typically provided in nursing homes. During the screening process, they will be certified as such by a team of doctors, therapists and nurses. A diagnosis of Alzheimer’s, Parkinson’s or dementia does not automatically ensure the applicant will be medically qualified. For these conditions, the progression of disease is important.
  • Family – the participant’s marital status has no impact on their eligibility.
  • Financial – the programs in and of themselves do not have financial eligibility requirements. However, most participating seniors are enrolled in Medicare, Medicaid, or both. Therefore, they must meet the Medicare requirements or the Medicaid requirements. Those who are “dually eligible” for both Medicare and Medicaid comprise 90% of seniors in PACE. That said, if one is not eligible for Medicare or Medicaid, there is a private pay option.
  • Veteran Status – Medicare PACE / LIFE programs are available to both Veterans and non-Veterans.
  • Geographic – currently PACE programs are not available nationwide. Participants must live or be willing to live in a Medicare PACE or LIFE Program eligibility area.

“For many low to middle income seniors, Medicare PACE programs are the best long term care option, balancing quality of life with quality care and affordability.”

Medicare PACE and LIFE Programs Defined

States with PACE/LIFE Programs

The following is a list of states with PACE / LIFE programs and states without such programs. Of the states that do have PACE / LIFE programs, each of these states has at least one such program. That said, there may not be programs available statewide.

States with PACE / LIFE ProgramsStates without PACE / LIFE Programs
Alabama Arkansas California Colorado Delaware Florida Indiana Iowa Kansas Louisiana Maryland Massachusetts Michigan Nebraska New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Texas Virginia Washington Wisconsin Alaska Arizona Connecticut Georgia Hawaii Idaho Illinois Kentucky Maine Minnesota Mississippi Missouri Nevada New Hampshire South Dakota Utah Vermont Washington D.C. West Virginia Wyoming

Program Benefits and Services

PACE/LIFE Programs are designed to provide all of a participating senior’s medical and personal care needs.

Program benefits come only in the form of medical and care services. Seniors do not receive cash payments. Benefits are determined on a case-by-case basis, are provided by a dedicated team of healthcare professionals, and can include any of the following.

  • Adult Day Care / Adult Day Health
  • Audiology
  • Cardiology
  • Chores
  • Dentistry
  • Durable Medical Equipment (Wheelchairs, walkers, hospital beds)
  • Emergency Services
  • Home Care
  • Hospital Care
  • Laboratory/X-ray Services/Radiology
  • Meals
  • Medical Transportation/Non-Medical Transportation
  • Nursing Home Care
  • Nutritional Counseling
  • Optometry
  • Outpatient Surgery
  • Personal Care
  • Physical Therapy
  • Podiatry
  • Prescription Drugs / Medications
  • Primary Care
  • Recreational Therapy
  • Respite Care
  • Rheumatology
  • Skilled Nursing
  • Social Services
  • Social Work Counseling
  • Women’s Services

Program Costs

PACE/LIFE Programs are possibly the most cost-effective form of long-term care available in the U.S.

PACE / LIFE programs receive monthly payments from Medicare or Medicaid. Participating seniors do not make payments to the PACE program. If a participant qualifies for Medicaid, there is no monthly premium for long term care. Seniors that are not Medicaid eligible, but have Medicare, will pay a monthly premium, but do not have deductibles or copayments. For persons who do not have Medicaid or Medicare, benefits and services are still available via private pay.

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How to Apply for PACE / LIFE Programs

Persons can apply for the PACE or LIFE Program with the individual, regional PACE providers. Click here for a list.  For more information about PACE Policy, please visit the National PACE Association website.

While there are many positives to these programs, an unfortunate reality is the application process can require patience and perseverance. For some programs in certain areas, the application and approval process can take as long as nine months.  This is by no means the case everywhere, but applicants and their families should be aware of this possibility. is committed to providing information, resources, and services — free of charge to consumers — that help seniors and their families make better decisions about senior living and care. We may receive business-to-business compensation from senior care partnerships and/or website advertising. This compensation doesn’t dictate our research and editorial content, nor how we manage our consumer reviews program. independently researches the products and services that our editorial team suggests for readers. Advertising and partnerships can impact how and where products, services, and providers are shown on our website, including the order in which they appear, but they don’t determine which services or products get assessed by our team, nor which consumer reviews get published or declined. PayingForSeniorCare awards some companies with badges and awards based on our editorial judgment. We don’t receive compensation for these badges/awards: a service provider or product owner may not purchase the award designation or badge.

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