State Support

Program of All-Inclusive Care for the Elderly (PACE) is a capitated health plan that provides comprehensive Medicare and Medicaid covered services to frail, older adults in the community who are eligible for nursing home care. New research from ATI explores the latest enrollment trends and highlights latest opportunities for PACE growth.

Compliance deadlines tied to the Access Rule's HCBS provisions will start to arrive in 2027, with additional milestones in 2028 through 2030. In a recent webinar, ATI experts Bill Hanna and Cleo Kordomenos were joined by Camille Dobson, deputy executive director at ADvancing States, to discuss next steps for impacted healthcare stakeholders.

While work requirements have captured the Medicaid policy conversation, CMS' Ensuring Access to Medicaid Services Final Rule (CMS-2442-F) is already moving from policy into implementation, with some provisions taking effect now and others phasing in through 2028 and beyond.

ATI developed this report to support states subject to the impending 2027 (and 2030) D-SNP enrollment alignment requirements that will need to modify their enrollment policies and processes. We provide detailed insights based on a targeted literature review, interviews with state Medicaid officials, and ATI’s experience supporting states with both Medicare- and Medicaid-driven alignment approaches, including lessons learned, best practices, and implementation insights from states that have already launched aligned enrollment.

In December, CMS released a long-awaited RHTP funding announcement. States moved into a critical and rapid implementation period, negotiating final budgets under the cooperative agreement process. States are now working on revising and submitting their budgets to reflect their final award amounts by January 30 for approval by CMS. ATI unpacks the key activities that states are undertaking in the short term to ensure their success under this program.

Our primer on the Program of All-Inclusive Care for the Elderly (PACE) – a capitated health plan that provides comprehensive Medicare and Medicaid covered services to frail, older adults in the community who are eligible for nursing home care – explores the latest enrollment trends and highlights latest opportunities for PACE growth.