In consultation with PACE organizations and State PACE Associations, NPA has put together a state almanac assessing how states are doing in five major areas:

  • Growth of PACE,
  • Sustainability,
  • Oversight and Flexibility,
  • Alternatives to PACE, and
  • Access to PACE.

The number of PACE organizations in a state and the census number for each state reflect data as of Jan. 1, 2021. Other information in the almanac reflects the status of states as of the first quarter of 2021, when the information was collected. NPA updates the almanac on an annual basis. However, as policies in a state change, please reach out to Liz Parry, senior director of State Policy, to update the information.

For more information about the categories, refer to the list of definitions below.

Growth of PACE: An overview of how each state manages new and existing program growth.

Sustainability: An overview of how each state handles rate setting and if the state has Medicaid long-term services and supports. 

Licensure: An overview of the licenses each state requires.

Access to PACE: An overview of state policies that impact how quickly participants can enroll in PACE.

Alternatives to PACE: An overview of other Medicaid capitation models available in the state. 


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