§ 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]