Last Modified Date – 05/25/2022

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Disenrollment

Last Modified Date – 05/25/2022

Rocky Mountain PACE participants may disenroll at any time, effective the last day of the month of the disenrollment.

§ 460.166 Disenrollment Responsibilities

 

(a) In disenrolling a participant, the PACE organization must take the following actions:

  1. Use the most expedient process allowed under Medicare and Medicaid procedures, as set forth in the PACE program agreement.
  2. Coordinate the disenrollment date between Medicare and Medicaid (for a participant who is eligible for both Medicare and Medicaid).
  3. Give reasonable advance notice to the participant.

(b) Until the date enrollment is terminated, the following requirements must be met:

  1. PACE participants must continue to use PACE organization services and remain liable for any premiums.
  2. The PACE organization must continue to furnish all needed services.

 

[64 FR 66279, Nov. 24, 1999, as amended at 84 FR 25676, June 3, 2019]

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