1. (a) The PACE provider determines whether the applicant meets PACE enrollment requirements.
2. (b) The enrollment effective date is the first day of the month after the provider receives the signed enrollment form.
3. (c) During the initial eligibility determination and prior to enrollment, the provider must assess the prospective participant’s housing status to determine if they are housing insecure. If the prospective participant is determined to be housing insecure and is enrolled, the participant’s housing insecurity must be addressed in their plan of care. If the participant’s housing insecurity has not improved after two (2) months of enrollment, the provider must disenroll the participant according to the involuntary disenrollment procedures defined in 317:35-18-10. For the purposes of this requirement, OHCA considers housing insecurity to be the lack of stable occupancy of a decent, safe, and affordable housing unit.
4. (d) Enrollment continues until the participant's death, regardless of changes in health status, unless either of the following actions occur:
5. (1) The participant voluntarily disenrolls and/or elects to transfer to other eligible PACE program.
6. (2) The participant is involuntarily disenrolled.

Added at 23 Ok Reg 2583, eff 6-25-06

Amended at 33 Ok Reg 911, eff 9-1-16

Amended at 42 Ok Reg, Number 21, effective 9-1-25