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the PACE provider 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 are subject to EOHHS approval. Beneficiaries who are disenrolled from PACE but retain Medicaid eligibility will be enrolled in Medicaid fee-for-service and may subsequently choose or be enrolled in an alternative service delivery if they qualify. Beneficiaries have the right to appeal EOHHS’s disenrollment action (see Part 10-05-2 of this Title). F. Disenrollment Effective Date. Regardless of the reason for disenrollment, all disenrollments from PACE will become effective at midnight of the last day of the month in which the disenrollment is requested. 1.13.6 Disenrollment Appeal
If the member files a written appeal of the disenrollment within ten (10) days of the decision to disenroll, the disenrollment shall be delayed until the appeal is resolved. 1.13.7 Re-enrollment and Transition Out of PACE
All re-enrollments will be treated as new enrollments except when a participant re-enrolls within two (2) months after losing Medicaid eligibility. In this situation, the participant's re-enrollment will not be treated as a new enrollment. The PACE provider shall assist participants whose enrollment ceased for any reason in obtaining necessary transitional care through appropriate referrals, by making medical records available to the participant's new service providers, and (if applicable), by working with EOHHS to reinstate the participant's benefits. 1.14 PACE Benefit Package A. CMS and EOHHS approve PACE providers who are responsible for providing the full scope of Medicare (if eligible) and Medicaid State Plan and waiver services, including but not limited to: 1. Multidisciplinary assessment and treatment planning; 2. Case Management services; 3. Personal Care; 4. Homemaking; 5. Rehabilitation; 6. Social Work; 7. Transportation;