{"data":{"id":"us/42-cfr-441.456","jurisdiction":"us","citation":"42 CFR 441.456","heading":"Voluntary disenrollment.","body":"(a) States must permit a participant to voluntarily disenroll from the self-directed PAS option at any time and return to a traditional service delivery system.\n(b) The State must specify in a section 1915(j) State plan amendment the safeguards that are in place to ensure continuity of services during the transition from self-directed PAS.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 441—SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES","Subpart J—Optional Self-Directed Personal Assistance Services Program"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"8d25d29d318a77bc442d0bef3ec93782c3b3d8fd3f9d038eb95dfb4198a0562d","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-441.454","next":"us/42-cfr-441.458"},"notice":"GroundRules: Original legal text. Not legal advice."}