- (a) States must specify the conditions under which a participant may be involuntarily disenrolled from the self-directed PAS option.
- (b) CMS must approve the State's conditions under which a participant may be involuntarily disenrolled.
- (c) The State must specify in the section 1915(j) State plan amendment the safeguards that are in place to ensure continuity of services during the transition from self-directed PAS.