8340 Changes in Eligibility

8340 Changes in Eligibility

Changes in financial eligibility must be communicated to the PACE provider. The online ES-3166 form 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. Eligibility 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