Benefits · Home Care

How to apply for Program of All-Inclusive Care for the Elderly (PACE)

Kentucky Cabinet for Health and Family Services / Centers for Medicare & Medicaid Services

Who it's for

PACE is a comprehensive, integrated care program for seniors who are certified as needing nursing-home level of care but want to keep living in the community. A single PACE organization becomes the participant's complete medical home — primary care, specialists, hospital care, prescriptions, physical and occupational therapy, dental, vision, hearing, mental health, transportation to appointments, meals, and adult day care at a PACE center. For seniors who have both Medicare and Kentucky Medicaid, PACE replaces those benefits as one program with no out-of-pocket cost. PACE is operated by eight organizations across Kentucky and serves specific counties — including Louisville (Jefferson), Lexington (Fayette), and the western Purchase region (Calloway, Fulton, Graves, Hickman, Marshall, McCracken). Participants must live in a PACE organization's service area and agree to use only PACE-network providers.

PACE requires certification that you need a nursing-facility level of care (under 907 KAR 1:022), Kentucky Medicaid enrollment, and that you live in a PACE organization's service area. The scan can't confirm the level-of-care certification or your exact service area — verify with the PACE organization that serves your county.

What you'll need

  • Proof of Kentucky residency within a PACE organization's service area
  • Proof of age 55+ (driver's license, state ID, or birth certificate)
  • Medicare card (if enrolled) and Kentucky Medicaid card (if enrolled)
  • Recent medical records or a physician statement supporting the need for nursing-facility-level care
  • List of current medications and providers

Where to apply

Apply online: official application

Renewals

ongoing (annual re-assessment of nursing-facility-level certification)

Official source →Last verified · May 21, 2026

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Not legal or financial advice. The agency makes the final eligibility decision.