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

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

This information reflects the status of states as of the first quarter of 2020, when the information was collected. Due to the COVID-19 public health emergency, we were not able to verify and/or collect information for every category for all 31 states.

NPA will update the almanac on an annual basis. However, as policies in a state change, PACE organizations can reach out to Liz Parry, senior director of State Policy at NPA, to update the information.

For more information about the categories, please 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. 


Find information and resources to assist NPA members in responding to coronavirus disease 2019 (COVID-19).

Stay up to date on news and events by following NPA on FacebookLinkedInTwitter and YouTube.

Back to Top