SPECIAL BULLETIN COVID-19 #197: Involuntary Disenrollments from PACE PACE involuntary disenrollments will no longer be suspended for any reason

This guidance supplements SPECIAL BULLETIN COVID-19 #145.

Effective Nov. 1, 2021, involuntary disenrollments from the Program of All-inclusive Care for the Elderly (PACE) will no longer be suspended for any reason including non-payment of the participant monthly liability. The PACE organizations should resume following guidance and requirements at 42 CFR 460.164 involuntary disenrollment and NC Medicaid Clinical Coverage Policy No: 3B Sections 5.4.2 and 5.4.3 for involuntary disenrollments. 

Please note all involuntary disenrollments must be approved by NC Medicaid prior to the PACE organization notifying the participant about the involuntary disenrollment. 

Contact

NCTracks Contact Center: 800-688-6696

This blog is related to:

https://medicaid.ncdhhs.gov/blog/2021/11/04/special-bulletin-covid-19-197-involuntary-disenrollments-pace