State Policy
MACPAC Report Examines State Medicaid Agency Oversight Role in PACE Programs
MACPAC's June 2025 report to Congress identified questions about transparency in state and federal oversight of the Program of All-Inclusive Care for the Elderly (PACE). PACE provides integrated care to adults 55 and older who meet nursing facility level-of-care criteria but can live safely in the community. The report focuses on the role of state Medicaid agencies in overseeing these programs. The findings matter for states as they evaluate their oversight responsibilities and administrative capacity for PACE, which serves dual-eligible beneficiaries requiring nursing home level care.
Why it mattersStates may need to strengthen oversight infrastructure as PACE programs expand and MACPAC highlights transparency gaps in federal-state monitoring roles.