; opt-Out permitted (1) Passive enrollment and notice requirements A State shall automatically enroll a dual eligible individual with an integrated care plan under a contract with the State provided that the State notifies the individual that the individual will be enrolled with such plan at least 60 days (90 days, in the case of the first time the individual is provided such notice) prior to the effective date of such enrollment. Notice provided to a dual eligible individual under this paragraph shall include the following: (A) The name and contact information for the integrated care plan. (B) The date on which the enrollment takes effect and, if applicable, whether the State has elected the option for a 12-month continuous eligibility period under paragraph (4). (C) A summary of the benefits to be provided by the plan. (D) Information regarding the provider network of the plan. (E) Information regarding how the dual eligible individual may elect to opt-out of enrollment with the plan within 60 days (90 days, in the case of the first time the individual is provided such notice). (2) Enrollment in plan with in-network, participating primary care provider required A State shall not passively enroll a dual eligible individual in an integrated care plan unless the individual's primary care physician is an in-network, participating provider for the plan. (3) Voluntary enrollment A State shall offer a dual eligible individual the option to enroll in an integrated care plan without regard to meeting the requirement of paragraph (2). (4) State option for continuous eligibility and enrollment A State may elect for a dual eligible individual who is determined to be eligible for medical assistance under the State plan under title XIX or under a waiver of such plan and who is enrolled with an integrated care plan under a contract with the State to remain eligible for medical assistance and enrolled with such plan until the earlier of— (A) the end of the 12-month period beginning on the date of such determination