8330 Effective Date of Coverage - PACE services always begin on the first day of the month and end on the last day, except when termination is based on death. To support the capitated payment structure, PACE eligibility, including LOTC coding, should be completed prior to medical card cutoff for the month.

Note: If approved, PACE coverage is effective the month following the month in which action on the case is taken. There is no coverage for prior months, except as indicated in 8350 (3).

A participant may elect to disenroll from PACE at any time. However, the effective date of disenrollment is always the last day of the month. In specific instances, PACE providers can also initiate disenrollment of a participant from the program. Participants will always be disenrolled if they move out of the service area.

8340 Changes in Eligibility - Changes in financial eligibility must be communicated to the PACE provider. The ES-3166 is be used to do this. The PACE provider is responsible for communicating enrollment and disenrollment dates, changes in living arrangement, new address information or other changes which may impact Medicaid eligibility. Households are required to report changes as per 9300 and cooperate with the review requirements of 9300 , when applicable. Local EES staff are responsible for providing the PACE entity a list of persons due for review approximately 30 days prior to expiration.

A change to an established participant obligation are made prior to the first day of the base period, except as noted in 8172.3 and 8270.3.