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1. Death; 2. Loss of Medicaid eligibility; 3. Eligibility error; 4. Placement in an out-of-State residential hospital; 5. Incarceration; 6. Change of State residence; 7. Loss of functional level of care; and 8. Voluntary opt-out to Medicaid FFS. B. The PACE provider may also request in writing that a member be disenrolled on the grounds that the member’s continued enrollment seriously impairs the entity’s capacity to furnish services to either the particular member or other members. In such instances, EOHHS will notify the PACE provider about its decision to approve or disapprove the disenrollment request within fifteen (15) days from the date EOHHS has received all information needed for a decision. Upon EOHHS approval of the disenrollment request, the PACE provider must, within three (3) business days, forward copies of a completed Disenrollment Request Form to EOHHS and to the Medicare enrollment agency (when appropriate). The PACE provider must also send written notification to the member that includes: 1. A statement that the PACE provider intends to disenroll the member; 2. The reason(s) for the intended disenrollment; and 3. A statement about the member's right to challenge the decision to disenroll and how to grieve or appeal such decision. C. Disenrollment Requests Not Allowed. EOHHS does not permit disenrollment requests based on: 1. An adverse change in the member's health status; 2. The member's utilization of medical services; or 3. Uncooperative behavior resulting from the member's special needs. D. Voluntary Disenrollment – PACE participants may voluntarily disenroll from PACE at any time. A voluntary disenrollment from PACE will become effective at midnight of the last day of the month in which the disenrollment is requested. E. Disenrollment Process. Regardless of the reason for disenrollment, EOHHS is responsible for completing all disenrollment actions. Disenrollments requested by