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b. Notify the a/b’s Pre-paid Health Plan (PHP), if applicable, following procedures in XIII. D.

2. Evaluate eligibility for all other MAGI or non-MAGI programs and authorize, if eligible. 3. Enter a sanction for failure to provide transfer of asset information in NCFAST. See NCFAST Job Aid: Creating or Disregarding an Active Sanction for instructions. Institutional services cannot be approved again for the current or any future institutionalization without a complete transfer of assets evaluation. C. Reconsideration Period 1. Institutional Services cases that have terminated for failure to provide information requested to complete the transfer of assets evaluation may be reopened if:

a. The request to reopen is received no later than the 90th calendar day following termination and

b. The a/b is not receiving in any other Medicaid program.

c. If the 90th calendar day falls on a non-business day, allow the a/b until the next business day to make the request.

2. The following criteria must be met prior to reopening a terminated case. Refer to MA-2352 Change in Circumstance, Terminations and Reopening

a. The case was terminated for failure to provide the required information needed to complete the transfer of assets evaluation.

b. All information needed to reopen the case must be received by the 90th calendar day following termination.

c. If no transfers are found, the certification begin date is the first day of the month following the month of termination. The certification end date is the end date of the certification period in the original case.

d. For an a/b that has an uncompensated transfer, Review XI. below to determine the sanction period and start date. 3. If the a/b continues to have coverage in another Medicaid program, and they provide the requested information at any point after termination of institutional services, treat as a change in circumstance. Reminder, authorize eligibility for no more than 12 months prior to the reported change.

VII. ALLOWABLE TRANSFERS (NON-TRUSTS)

This section will explain what types of transfers that are considered allowable. DO NOT apply a sanction to the following transfers.