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2.49 EOHHS Authority A. EOHHS has sole authority as the Medicaid Single State Agency for disenrolling Medicaid members from an MCO. Requests for disenrollment, either as the result of a formal grievance filed by the Medicaid member against the MCO, or by the MCO against the Medicaid member, is subject to an administrative review process by EOHHS. 2.50 Reasons for Disenrollment A. EOHHS may disenroll Medicaid eligible MCO members for a variety of reasons including, but not limited to, any of the following: 1. Death; 2. Loss of eligibility; 3. Selection of another MCO during open enrollment; 4. Change of residence outside of the MCO’s service area; 5. Non-payment of premium share; 6. Incarceration; 7. Permanent placement in Eleanor Slater Hospital; 8. Long-term placement in a nursing facility for more than thirty (30) days (does not apply to RIte Care members); 9. Disenrollment as the result of a formal grievance filed by the member against the MCO; or 10. Disenrollment as the result of a formal grievance filed by the MCO against the member. 2.51 Disenrollment Effective Dates A. Member disenrollments outside of the open enrollment process become effective on the date specified by EOHHS, but not fewer than six (6) days after the MCO has been notified, unless the MCO waives this condition. The MCOs have written policies and procedures for complying with EOHHS disenrollment orders. 2.52 Right to Appeal A. All notifications of disenrollment must include information regarding the Medicaid member’s right to appeal the decision and the procedures for requesting an EOHHS administrative fair hearing.