States have an obligation to provide options counseling to Medicaid-eligible individuals so they are aware of the services and care that are available as their needs change.

New Report on Role of I&R/A Entities

The National PACE Association (NPA) has published a new report titled "The Role of Information & Referral/Assistance Entities in Beneficiary Choice of Provider Options."

The primary focus of this report is to provide PACE programs with a landscape of the informational services available for aging adults, to understand the role of Information & Referral/Assistance (I&R/A) Entities in their service area to ensure the appropriate entities are aware of PACE and able to share accurate information with beneficiaries, and to equip PACE organizations with information to advocate for the development of I&R/A Entities that are accessible and timely, comprehensive and competent, and conflict-free.

The core principles of I&R/A Entities are similar across the nation, but the implementation of programs varies by state. Examples of how programs are operationalized differently across states are provided, with a focus on California, Michigan and Pennsylvania.

NPA members can view the new report.

Wave 2 of PACE Mystery Shopper Study

In May 2016 NPA launched Wave 2 of the PACE Mystery Shopper study. NPA partnered with Second To None, a consumer experience research organization, to conduct mystery shopping of state and local options counseling services. The goal of the study was to determine the level and accuracy of awareness of Programs of All-Inclusive Care for the Elderly (PACE®) by options counselors responding to individuals seeking long-term services and supports for a loved one or themselves. The study results are now available.

Resources for Designing Effective Options Counseling Programs

The following resources can assist states in designing effective options counseling programs:


There are more than 240 PACE centers in 31 states. Find your local PACE program.

Back to Top