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“PACE Program, Still Expanding in 2025?” Elderly Care Without a Nursing Home


(As of June 2025) The Program of All-Inclusive Care for the Elderly (PACE) continues to expand across the U.S., offering a vital alternative to nursing home placement for older adults.

This article explains what the PACE program is, who qualifies, what services it provides, and why it’s becoming a popular choice for seniors and families seeking home-based care with full coverage.
Explore how PACE provides all-inclusive care to seniors at home, combining Medicare and Medicaid benefits.

What is PACE? A full-service care option for seniors at home

PACE is a federal and state-funded program that combines Medicare and Medicaid to provide comprehensive health care services to eligible seniors. Its mission is to help elderly individuals remain in their homes and communities, avoiding institutional care.

Services include medical, social, nutritional, rehabilitative, and long-term care—all coordinated by a team of professionals through PACE centers.

Who is eligible for PACE?

To qualify for PACE in 2025, you must:

  • Be 55 years old or older
  • Live in an area with an approved PACE organization
  • Qualify for nursing home level care
  • Be able to live safely in the community with PACE support

📢 All-in-one care with zero deductibles for eligible seniors

PACE covers everything from primary care and emergency services to physical therapy, transportation, and even in-home aides. Most enrollees pay no deductibles or copayments, making it one of the most affordable senior care programs.

What services are included in PACE?

  • Comprehensive medical care (including specialists)
  • Home health and personal care
  • Medications and medical equipment
  • Adult day health services
  • Meals and nutrition counseling
  • Transportation to appointments

Where is PACE available in 2025?

PACE is currently available in 32 states plus Washington, D.C., and continues to expand. New sites in Michigan, Georgia, and New Jersey have launched this year, with several more states in planning stages.

CMS (Centers for Medicare & Medicaid Services) tracks and supports the national expansion of PACE as a cost-effective and patient-centered care model.

How to apply for PACE services

To enroll, contact your state’s Medicaid or local PACE organization. An assessment will determine your eligibility and care needs. Services begin once enrollment is complete and coordinated by a PACE care team.

📞 Contact
PACE provider or state Medicaid office
📄 Requirements
Age, residency, care level qualification, and safety assessment

Frequently Asked Questions

Q1. Can I use PACE if I only have Medicare or only Medicaid?

Yes. PACE accepts enrollees who are eligible for either or both programs. Those not enrolled in either may still pay out of pocket.

Q2. Do I have to leave my doctor to join PACE?

Yes. You must receive all medical care through the PACE organization and its network of providers.

Q3. Is there a monthly premium for PACE?

For those with both Medicare and Medicaid, there’s typically no premium. Those without Medicaid may have to pay a premium.

Q4. What makes PACE different from regular home care?

PACE is coordinated, comprehensive, and includes full medical, social, and logistical support. Regular home care typically offers fewer services.

Q5. Can I leave the PACE program anytime?

Yes. Enrollment is voluntary and can be discontinued at any time with proper notice.


Medicare.gov Verified PACE program page

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James Mani
Senior Policy Analyst, ManiInfo Global
James Mani specializes in tracking and analyzing the latest official public policies and government announcements. At ManiInfo Global, he focuses on delivering accurate, fact-based insights to help readers navigate complex financial, tax, and welfare regulations safely and clearly.
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