Definition. PACE is a Medicare and Medicaid program for people 55 and older who need a nursing-home level of care but can live safely in the community with help. One PACE organization provides and coordinates all your care, usually through a PACE center, and it's offered only in certain ZIP codes.
What it means
A PACE organization covers everything Medicare and Medicaid cover, plus other services its care team decides you need: primary and specialty care, hospital and nursing home care, prescription drugs, medical equipment, adult day care, therapy, in-home care, meals, transportation to the PACE center and social work. A team of doctors, nurses, therapists and other staff plans your care.
You generally must get your care from the PACE organization and its providers, except in emergencies. You can leave PACE at any time. If you have Medicare and PACE, PACE provides your Part D drug coverage, so you don't join a separate drug plan.
In Oregon
The Oregon Department of Human Services (ODHS) runs the Medicaid side of PACE and determines whether you need a nursing-home level of care. Service areas are defined by ZIP code and approved by CMS; ODHS documents from 2026 show PACE in parts of the Portland metro area and the north coast and in parts of Lane County, with Oregon working to expand PACE beyond urban areas. Check whether your ZIP code is served with Medicare.gov's PACE page or ask your local ODHS Aging and People with Disabilities office (1-855-673-2372).
Sources
- Medicare.gov — Programs of All-Inclusive Care for the Elderly (PACE)
- Oregon Department of Human Services — PACE fact sheet (PDF)
- Oregon Department of Human Services — Aging and Disability Services
Frequently asked questions
Who can join PACE?
You must be 55 or older, live in a PACE organization's service area, be certified by the state as needing a nursing-home level of care, and be able to live safely in the community with PACE's help.
Do I need Medicaid to join PACE?
No. You can join with Medicare, Medicaid or both. If you have Medicaid, you don't pay a monthly premium for the long-term care part of PACE; with Medicare only, you pay a monthly premium for it and for Part D drugs.
Is PACE available everywhere in Oregon?
No. PACE service areas are set by ZIP code. ODHS lists PACE organizations serving parts of the Portland area and north coast and parts of Lane County, and the state has been working to expand PACE to more areas.
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