{"data":{"id":"us/42-cfr-441.458","jurisdiction":"us","citation":"42 CFR 441.458","heading":"Involuntary disenrollment.","body":"(a) States must specify the conditions under which a participant may be involuntarily disenrolled from the self-directed PAS option.\n(b) CMS must approve the State's conditions under which a participant may be involuntarily disenrolled.\n(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.","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":"8e0eca13e2878e76fb0467b9f087fad197b296be938d6d086134c7c16ba2da1f","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-441.456","next":"us/42-cfr-441.460"},"notice":"GroundRules: Original legal text. Not legal advice."}