Code of Federal Regulations (Last Updated: July 5, 2024) |
Title 42 - Public Health |
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
SubChapter E - Programs of All-Inclusive Care for the Elderly (Pace) |
Part 460 - Programs of All-Inclusive Care for the Elderly (Pace) |
Subpart I - Participant Enrollment and Disenrollment |
§ 460.166 - Disenrollment responsibilities.
Latest version.
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§ 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 2567725676, June 3, 2019]