Rule 173-50-05 | PACE: involuntary disenrollment.
(A) A participant is subject to involuntary disenrollment from PACE for an reason outlined in 42 C.F.R. 460.164(b).
(B) Process to involuntarily disenroll a PACE participant:
(1) If a PO requests permission to disenroll a participant under this rule, it shall submit the request to AGE along with documentation reflecting grounds for involuntary disenrollment and the PO's efforts to remedy the situation.
(2) ODA shall approve or deny the request based upon the requirements in paragraph (A) of this rule and notify the PO of the decision.
(3) If AGE does not approve the request, the PO shall continue to provide necessary services to the participant.
(4) If AGE approves the request, the PO is subject to the involuntary disenrollment process in 42 C.F.R. 460.164, 460.166, and 460.172.
(5) A participant's involuntary disenrollment is effective on the first day of the next month that begins thirty days after the day the PO sends notice of the disenrollment to the participant.
(6) After AGE approves an involuntary disenrollment, AGE sends the participant a notice of denial and hearing rights under division 5101:6 of the Administrative Code.
(a) If the participant requests a hearing within fifteen days after AGE approves the involuntary disenrollment, AGE places the disenrollment on hold until a state hearing has been conducted.
(b) If the decision of the state hearing is that AGE made a correct decision to disenroll, then AGE enters the decision into the AGE- and ODM-approved eligibility systems.
(c) If the decision of the state hearing is that AGE made an incorrect decision to disenroll, the participant remains enrolled in PACE.
Last updated June 1, 2026 at 8:03 AM
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