Home and Community Based Services

PACE: Program of All-Inclusive Care for the Elderly

The Program of All-Inclusive Care for the Elderly (PACE) is a person-centered model of care designed to help older adults remain healthy, independent, and living safely in their communities for as long as possible. PACE focuses on the whole person, including medical, social, behavioral, and daily living needs by surrounding each participant with a coordinated care team that adapts services to changing needs over time.

PACE serves adults age 55 and older who require a nursing facility level of care but can continue living safely in the community with the right supports in place. By coordinating medical care, behavioral health, social services, and daily living support through an interdisciplinary care team, PACE helps participants maintain independence, manage complex needs, and remain engaged in their communities.

PACE delivers coordinated team-based care that improves outcomes while simplifying an otherwise complex period of life for participants and their families. It is one of the few care models that aligns Medicaid and Medicare through a single integrated approach combining the Centers for Medicare & Medicaid Services (CMS), state agencies, and providers. This unique alignment allows care teams to focus on coordination, continuity, and flexibility in meeting participant needs over time.

While many states have implemented PACE programs, the model presents unique operational, regulatory, and coordination challenges. Successfully developing, expanding, or overseeing PACE requires a clear understanding of the model, its requirements, and the points that pose the greatest risks. For these reasons, thoughtful planning and experienced guidance are critical to long-term success.

Myers and Stauffer supports states across the full PACE lifecycle, from early exploration through implementation to ongoing oversight. We help states assess feasibility, improve existing programs, and align clinical, financial, operational, and compliance priorities that support sustainable, high-quality outcomes. Our work is grounded in objective analysis, deep regulatory knowledge, and a shared commitment to helping states achieve their goals.

Strengthening Oversight in PACE Programs

As PACE programs expand nationwide, state Medicaid agencies play a critical role in ensuring program stability, participant protection, and sustainable growth.

We’ve developed a risk-responsive framework that outlines:

Risk-based oversight across the PACE lifecycle
Operational monitoring approaches for state agencies
Tools to translate findings into proportionate, timely action

Download the Whitepaper

Support for States Exploring the Potential for PACE

Considering bringing PACE to your state? We offer structured, data-informed support to help evaluate whether PACE is the right fit for your state. Our approach aligns with long-term care strategy, aging population initiatives, and budget priorities. Explore how we help states assess the potential for PACE implementation.

Support for States Implementing PACE

For states that have determined PACE is the right addition to their long-term services and supports (LTSS) continuum, we partner with state agencies to design, launch, and operationalize compliant, sustainable PACE programs. Learn how we partner with states to implement and oversee successful PACE programs.

Support for States Expanding PACE

Ready to grow your PACE program? For states with existing PACE programs, we partner with state agencies to guide thoughtful expansion, strengthen program performance, and ensure long-term operational and financial sustainability. Discover how we help states successfully expand and strengthen PACE programs.

Support for States with PACE Oversight and Monitoring

For states with established PACE programs, we provide end-to-end oversight and monitoring support to state administering agencies (SAAs), ensuring regulatory compliance, financial stability, and high-quality outcomes for participants. Learn how we support states in maintaining strong, compliant PACE programs.

PACE Multi-State Learning Collaborative

After Myers and Stauffer hosted a PACE forum in 2023, many of the PACE attendees suggested the idea of a dedicated workgroup for PACE professionals to network and communicate with peers. Driven by the shared spirit of empowered innovation sparked at the event, we created the PACE Multi-State Learning Collaborative (PMLC). The defining concept was to provide a safe place for you and others to share experiences, learn about other governmental agencies’ processes, compare approaches to PACE programs, and benefit from lessons learned.

The PMLC workgroup was designed to develop, share, and advance PACE best practices. It provides opportunities for learning and collaboration among state agency PACE leadership and offers a space for resource sharing. The PMLC gives participants a chance to address pressing PACE topics, while gaining insights from peers. Attendees can join in the conversation or simply listen and learn.

To learn more and inquire about joining the group, please fill out this inquiry form. Participation is open exclusively to government employees.

Why Myers and Stauffer?

Established in 1977, Myers and Stauffer is a nationally based consulting and certified public accounting firm. For nearly 50 years, we have worked exclusively with government health and human services agencies to help them accomplish their most critical goals for the nation’s most vulnerable people.

Backed by disciplined professionals who meet the highest ethical and compliance standards, we continue to forge strong partnerships with our clients, built on trust earned through a long history of strong performance and exacting execution. We help clients — state agencies and CMS — meet their goals one engagement at a time. Each is a rewarding chapter in our ongoing effort to support health and human services programs nationwide.

Our newest PACE initiative, the PACE Multi-State Learning Collaborative, was created from the ground up to drive high-level thought leadership and sharing among state agency leadership. This dynamic and state-focused program, the only one of its kind in the country, now includes participants from more than 30 states, addressing more than 85 percent of all PACE participants nationally.

We are purposeful and mission-driven. The values that inspire us inform everything we do in support of government programs and the clients who administer them.