What we do

Expanding PACE Programs


We help state Medicaid agencies plan and implement Program of All-Inclusive Care for the Elderly expansion strategies that improve access to coordinated care while supporting long-term program sustainability. Our PACE consulting services include market assessments, operational readiness, provider evaluation, financial analysis, and oversight planning to help states expand PACE programs in alignment with broader Medicaid and long-term services and supports goals.

Elder Wheelchair and woman 1

Helping States Grow PACE Thoughtfully & Sustainably

For states with existing Program of All-Inclusive Care for the Elderly (PACE) programs, expansion can create meaningful opportunities to increase access, strengthen long-term services and supports (LTSS), and serve additional eligible populations in community settings. Expansion may include entering new geographic regions, increasing enrollment capacity, adding new PACE organizations, or refining existing program structures.

Growth also requires careful planning. States must evaluate market readiness, participant demand, provider capacity, financial sustainability, regulatory requirements, and alignment with broader Medicaid delivery systems. We support state Medicaid agencies in planning and executing PACE expansion strategies through independent analysis, implementation support, and oversight planning that helps programs grow responsibly and perform effectively.

Informed PACE Expansion

PACE expansion decisions involve more than adding sites or service areas. Successful growth depends on balancing access goals with operational readiness and long-term sustainability.

We support agencies in:

  • Evaluating opportunities for geographic or program expansion.
  • Assessing unmet need and potential participant demand.
  • Reviewing provider and organizational readiness.
  • Supporting procurement or selection processes, where applicable.
  • Aligning expansion with LTSS, home and community-based services (HCBS), and managed care strategies.
  • Strengthening oversight frameworks as programs grow.
  • Monitoring performance during and after expansion.

States often begin expansion planning by determining where the PACE model can be most effective.

We assist agencies through:

  • Demographic and utilization analysis.
  • Review of nursing facility level-of-care populations.
  • Assessment of underserved or high-opportunity regions.
  • Evaluation of existing LTSS infrastructure.
  • Identification of market and operational risks.
  • Strategic roadmaps for phased growth.

Our work helps states prioritize expansion opportunities that align with policy goals and operational realities.

Expansion may involve new PACE organizations, additional centers, or broader service areas. States must ensure organizations are prepared to meet program requirements and participant needs.

We support agencies through:

  • Readiness review frameworks and evaluation tools.
  • Assessment of staffing, governance, and operational capacity.
  • Review of participant service models and care coordination readiness.
  • Evaluation of compliance and reporting capabilities.
  • Support for launch planning and milestone tracking.

PACE expansion must be financially sustainable for both the state and participating organizations.

We assist with:

  • Medicaid capitation and fiscal impact analysis.
  • Budget forecasting and enrollment scenarios.
  • Evaluation of utilization and cost trends.
  • Assessment of long-term sustainability considerations.
  • Alignment of expansion decisions with broader financing strategies.

States can access federal guidance on PACE state responsibilities and rate-setting considerations through Medicaid resources.

As PACE programs expand, oversight responsibilities also increase. States need scalable monitoring approaches that protect participants and support accountability.

We support agencies with:

  • Expanded monitoring and reporting frameworks.
  • Performance dashboards and trend analysis.
  • Compliance review strategies.
  • Risk-based oversight methodologies.
  • Coordination across multiple PACE organizations or regions.
  • Continuous improvement planning.

Integrated with Broader LTSS Strategy

PACE expansion should be considered within the broader continuum of care, including HCBS, nursing facility services, and managed care delivery systems. We help states evaluate how PACE growth complements:

  • Long-term sustainability goals.
  • Rebalancing initiatives.
  • Dual-eligible population strategies.
  • Regional access objectives.
  • Home and community-based services strategies.
nationwide experience

Why Agencies Hire Myers & Stauffer

Independent & Objective Support

Our work is grounded in independence and exclusive focus on government-sponsored programs.

Myers & Stauffer:

  • Works exclusively with government health and human services agencies.
  • Brings deep experience in Medicaid financing, oversight, and LTSS strategy.
  • Does not contract with PACE organizations or providers.
  • Provides conflict-free, objective guidance.
Supporting Successful PACE Growth

We help state Medicaid agencies expand PACE programs through practical planning, objective analysis, and scalable oversight strategies—supporting growth that improves access while maintaining accountability, quality, and long-term program success.

The Transformative Power of Partnership

Connect With Our Team

Partner with experts who understand the complexities of health and human services programs. Let us guide your organization through the industry’s unique challenges and opportunities.

Jared Duzan, CFE
Principal

Email: jduzan@mslc.com
Phone Number: 317-409-4194

Vicki Bartlett, RN, CCM, COC
Director

Email: vbartlett@mslc.com
Phone Number: 404-524-9052

In the Words of our Clients…

The team we have been working with is very dedicated and willing to go the extra mile in order to achieve the most accurate outcomes.”

Sharing Knowledge & strengthening programs

Recent Insights

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