Benefits · Home Care
How to apply for Program of All-Inclusive Care for the Elderly (PACE)
New York State Department of Health / Centers for Medicare & Medicaid Services
Who it's for
PACE is a comprehensive, integrated care program for seniors who are certified as needing a 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 New Yorkers who have both Medicare and Medicaid (or Medicaid only), PACE covers all of it with no out-of-pocket cost. PACE in New York is for people 55 and older who are assessed as needing community-based long-term care for more than 120 days at a nursing-home level of care, who live within a PACE organization's service area, and who can be served safely at home. Participants agree to use only PACE-network providers.
PACE requires an assessment confirming you need community-based long-term care for more than 120 days at a nursing-home level of care, New York Medicaid for $0-cost coverage, and that you live in a PACE organization's service area. This eligibility check can't confirm the assessment or your service area. Call New York Medicaid Choice at 1-888-401-6582 to find a PACE plan near you. Not legal or financial advice.
What you'll need
- Proof of New York 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 New York 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
By phone: 1-888-401-6582
Renewals
ongoing (annual re-assessment of nursing-facility-level certification)
Not sure if you qualify? Run a free check first.
Find my benefitsNot legal or financial advice. The agency makes the final eligibility decision.
