Programs of All-Inclusive Care for the Elderly

What is PACE?

The NC PACE Association supports the development, expansion, success and quality of PACE programs throughout North Carolina.

The Program of All-Inclusive Care for the Elderly (PACE) provides care for medically fragile seniors whose conditions render them eligible for nursing home placement. By providing medical and social support, the PACE program offers a community based alternative to nursing home care, allowing seniors with extensive health needs to remain at home and receive care at the PACE Center during the day. Independent national evaluations have found that the PACE model results in fewer hospitalizations, improved health status and greater quality of life.

PACE services, provided by an interdisciplinary care team, include medical care, home health and personal care, adult day care and respite, rehabilitation, prescription drugs/DME, nutrition, social work, transportation, and arrangement and payment for hospital and nursing home care when needed.

Who Is Eligible for PACE?

To participate in PACE, you must be:

  • 55 years of age or older
  • Qualified for nursing home level of care
  • Able to live safely in the community
  • Living in an area served by a PACE facility

Who Pays for PACE?

PACE is funded by Medicare, Medicaid and by private payment. If you are eligible for Medicaid and depending on your income, PACE services may be offered free of charge. If you do not qualify for Medicaid, you may be eligible to participate by paying a flat monthly fee.

There are no deductibles, co-pays or co-insurance. There is no out-of-pocket expense at the doctor or pharmacy.

What Services Does PACE Provide?

PACE participants receive an individualized plan of care managed on a daily basis by an interdisciplinary team of providers that includes geriatrics-trained physicians, nurse practitioners, physician assistants, nurses, social workers, nutritionists, rehabilitative therapists, transportation personnel, in home aides, and additional providers as needed.  

The majority of services are provided at the PACE facility. Other services are provided in-home.  PACE programs contract with existing community providers for services they cannot provide directly, such as specialty services and inpatient hospitalization.

Access to care is available 24 hours a day, 365 days a year. Other than emergency care, all services must be authorized by the PACE care team and delivered by the PACE network.

Services include:

  • Adult day health services, including recreational and social programs
  • Primary and specialty medical care
  • Nursing care and home care services
  • Prescription and over-the-counter medications
  • Occupational, physical, and speech therapies
  • Social work services
  • Foot, vision, and hearing care
  • Dental care
  • Mental health services
  • Transportation service
  • Medical equipment and medical supplies
  • Nutritional counseling and diet planning
  • Caregiver and family support
  • Hospital inpatient care as needed 

  • Nursing home care as needed
  • End of life and palliative care

For specific information, visit the website of the PACE program that serves you

For more information, visit To see if PACE is available where you live, view the programs serving North Carolina or search by zip code.