Holistic Care, united under

One mission

The pace difference

Unlike any other program, PACE provides all Medicaid and Medicare covered benefits including primary, acute and long-term care. Each participant collaborates with an interdisciplinary team (IDT) to develop a care plan and services that maintains their wellbeing and achieves their life goals. Services are provided directly at home and at a physical location called the PACE Center.

A State regulatory home unique to pace

As a flexible, fully capitated model, and unlike traditional fee-for-service, PACE is able to tailor its services to meet the specific needs of an individual. The Alliance seeks state regulations that both align with federal regulations and conforms to PACE’s unique capitated provider-sponsored model of care. 

Recognizing PACE

Authorized as a demonstration program in the 1980s, PACE was the original provider-sponsored, value-based model of care for individuals with a nursing facility level of care need. Numerous studies show PACE is a superior model of care.

PACE is Aligned with State Policy goals

the NYS PACE alliance is commitTed to Achieving a regulatory environment that promotes operational efficiencies and supports expansion of PACE by differentiating it as a unique, proven model of care in line with state policy goals.

PACE Alliance Priorities

The NYS PACE Alliance works with stakeholders to address state-level issues affecting PACE.

For more information on issues affecting PACE nationally, please visit the National PACE Association. The NYS PACE Alliance is an officially designated State Charter Association through NPA.

    • A key accomplishment of the PACE Alliance has been its work with New York’s legislative and regulatory bodies to streamline the licensure, regulation and PACE application process in New York.

      • Through 2024, PACE organizations must be licensed as managed long term care plans, clinics, and home care agencies under Articles 44, 28, and 36 (if applicable) of New York's Public Health Law, creating a daunting array of regulatory requirements that have discouraged the expansion of PACE in New York and hindered the program’s ability to deliver services.

      • On December 28th, 2022, Governor Hochul signed legislation establishing a new streamlined licensure process for PACE under Article 29-EE of the New York Public Health Law.

    • PACE has a highly prescriptive set of federal regulations. Ensuring that state and federal regulations are aligned simplifies compliance requirements. This helps PACE organizations avoid conflicting rules while reducing administrative complexity, so that PACE programs can dedicate more time and resources directly to participant care.

    • Aligning state and federal regulations supports the long-term sustainability and growth of PACE programs. Clear, consistent requirements encourage the expansion of services and ensure that programs can continue to provide comprehensive care to an increasing number of participants.

    • The Alliance has worked with New York to streamline the enrollment process for PACE. The intent of this reform is to decrease the amount of time prospective PACE participants wait to receive the care they need.

    • Consistent with federal requirements, the state has recognized the need for PACE programs to conduct their own eligibility and enrollment assessments.

    • PACE is required by federal statute to provide comprehensive care at a lower cost than comparable populations or those enrolled in programs other than PACE.

    • The Alliance provides recommendations to New York State for a payment methodology that enables PACE Organizations to meet their obligations to their participants.

    • Since the beginning of PACE, PACE organizations have embraced the philosophy of “each one, teach one.” The Alliance believes in the value of shared learning and open dialog among programs and actively promotes collaboration and workshops among PACE organizations at the state level.

    • This philosophy was particularly important during the COVID-19 Pandemic, which disproportionately affected populations enrolled in PACE. The PACE Alliance convened frequent operational support calls to assist programs in their response to daily regulation changes and helped share best practices around transitions remote models of care.