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b. If a discharged a/b has cooperated and completed the transfer of assets evaluation in the past and was re-admitted,

(1) Approve a new institutional services period while conducting the transfer of assets evaluation for the additional months since discharge. (2) This additional transfer of assets evaluation must be completed no later than three full calendar months following the date of activation and authorization. c. If the a/b was discharged and re-admitted following a previously authorized institutional services period and a sanction was already imposed, the sanction must continue until it ends.

(1) Only budget for PLA programs during the sanction.

(2) In-Home Health Services and Supplies and Personal Care Services costs are sanctioned during this period and will not be paid.

3. Ongoing LTC, CAP or PACE Beneficiary has reported transfer or a transfer is discovered

a. This could be reported or discovered at recertification or change in circumstance. Always evaluate information found during the exparte process that may indicate any changes that a transfer has been made.

b. The evaluation should be completed no later than three full calendar months following the date of the reported or discovered transfer.

c. Follow instructions in D.1. a. above.

d. If the beneficiary fails to provide information needed to evaluate for transfer of assets follow procedures in VI. B. below. E. Procedures When a Transfer Cannot be Determined

Institutional Services cannot continue to be paid if a transfer evaluation cannot be completed.

1. If the a/b fails to provide the information requested to complete the transfer of assets evaluation, follow timely notification policy in MA-2420, Notice and Hearings Process.

2. Terminate institutional services. The a/b cannot continue to receive institutional services and will not be eligible for institutional services to resume unless a complete transfer of assets evaluation can be made. 3. If an ongoing PLA beneficiary terminated from institutional services for failure to provide information to complete the transfer of assets evaluation makes a subsequent request for institutional services:

a. Do not approve additional months of institutional services until a complete