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

    General Notice - September 2021

    The Maryland Departmen​t of Health (the Department) is e​xcited to announce the following opportunity for PACE organizations to apply to operate in new service areas in Maryland. This solicitation will select new providers to serve the Baltimore and DC Metro regions. The Department may also consider applications for rural PACE sites.

    The solicitation document can be found here: 2021 Maryland PACE Expansion Solicitation Updated 9.17.21

    Final questions and answers regarding the PACE Expansion Solicitation can be found here: ​Maryland PACE Expansion Q&A 10.14.21​​

    The pre-application meeting held on September 20, 2021 can be seen here​

    The Department and its partners at the Hilltop Institute at UMBC have compiled a PACE expansion data book (found in the Resources section, below). The data book was updated in September 2021 to include proposed future rates.

    Please contact mdh.dltcs@maryland.gov​ with any questions; the Department will accept questions related to this solicitation until September 30, 2021.​


    ​​The Program of All-Inclusive Care for the Elderly (PACE) provides comprehensive medical and social services to eligible individuals who live in the community. Most PACE participants are dually-eligible for Medicare and Medicaid and receive benefits on a capitated basis. To participate in PACE, individuals must meet the following criteria: be at least 55 years old; be certified to need a nursing facility level of care; agree to receive all health and long-term care services from the PACE provider; and have income of no more than 300 percent of the Supplemental Security Income (SSI) benefit level for a household of one person and assets no more than $2,000.

    Maryland currently operates one PACE site, called Hopkins ElderPlus, which is approved to serve up to 200 individuals. As a cornerstone approach for integrating care for dual eligibles in the state, the state Medicaid program is favorable to expanding the program to new PACE providers and in the beginning of 2018, updated Maryland regulations to remove limits on the number of PACE programs able to operate. 

    This page will provide updates on the status of PACE expansion activities in Maryland.