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transfer of assets evaluation has been completed and any applicable sanctions have been applied and expired.
b. Follow the procedures above to complete a transfer of assets evaluation. c. Refer to D. above for timeframes to complete the transfer of assets evaluation. 4. If a new application or new request for institutional services is submitted for an individual who was previously terminated from institutional services for failure to provide information to determine a transfer of assets evaluation: a. Do not approve additional months of institutional services until the transfer of assets evaluation has been completed. b. Follow the procedures above to complete a transfer of assets evaluation.
c. Follow application processing requirements until evaluation is complete.
d. Follow application processing requirements for requesting information.
5. Ensure all actions are thoroughly documented. Refer to III. D. above.
VI. TRACKING TRANSFER OF ASSETS EVALUATION PERIOD
Do not delay LTC, CAP or PACE eligibility decisions for a pending transfer of assets evaluation, unless the a/b has already had a period of institutional services authorized and did not provide information to complete a transfer of assets evaluation.
A. Local Agency Responsibility
When a transfer of assets evaluation is completed after authorizing institutional services, the local agency must ensure that the process is completed timely.
1. It is the responsibility of the local agency to have procedures in place to ensure the evaluation is completed no later than three full calendar months following the date institutional services are authorized and activated by the caseworker. 2. Counties may be liable for charge backs of Medicaid expenditures when ineligible beneficiaries continue to receive institutional services longer than 3 full calendar months to complete the transfer of asset evaluation.
B. Penalties for Failure to Provide TOA Information
If the a/b fails to provide the information requested to complete the transfer of assets evaluation:
1. Send timely notice and terminate institutional services only.
a. Notify the a/b and authorized representative, if applicable.