42 C.F.R. § 460.166

Disenrollment responsibilities.

Last amended: 2020Year: 2026Length: 116 wordsSubsections: 2Official source

Cite as 42 C.F.R. § 460.166 (2026)

(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]