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 should be completed prior to medical card cutoff for the month.
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.