|(a) The provider agency determines whether the applicant meets enrollment requirements. (b) The enrollment effective date is the first day of the month after the provider agency receives the signed enrollment form. (c) The client may voluntarily disenroll from Programs of All-Inclusive Care for the Elderly (PACE) at any time, but the effective date of disenrollment must be the last day of the month. (d) The provider agency may recommend involuntary disenrollment of a client for the reasons described in 42 Code of Federal Regulations §460.164. To involuntarily disenroll a client: (1) the documentation of the recommendation must be sent to the PACE program manager in the Texas Department of Human Services (DHS) state office; and (2) the disenrollment becomes effective only when DHS confirms the provider agency adequately documented acceptable grounds for disenrollment.