---
kind: "section"
citation: "42 C.F.R. § 441.458"
title: "42"
number: "441.458"
heading: "Involuntary disenrollment."
url: "https://uscodex.org/cfr/42/441.458"
---

# §441.458. Involuntary disenrollment.

- (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)](/cfr/42/1915.md?p=j) State plan amendment the safeguards that are in place to ensure continuity of services during the transition from self-directed PAS.

## Notes

### Source

Source: 73 FR 57881, Oct. 3, 2008, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45229, Sept. 29, 1978, unless otherwise noted.