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(a) Multiply the number of sanction days (if less than the full calendar month) by $384 (average private daily rate).

(b) Add this to the first month’s PML amount regardless of whether the person has a zero PML.

(d) If the full sanction period (including the fractional days) ends on the last day of the sanction-ending month, do not convert to a dollar amount. The a/b is ineligible for that entire month. c. For a sanction that cannot begin prior to the first day of the month that follows three full calendar months from the date of the report or discovery of a transfer:

(1) If the sanction is not imposed until after month 4, this is considered an agency error. The period beginning with month 4 until the month the action is effective must be referred to the local DSS Program Integrity Section for recoupment. Refer to MA-2395, MA-3530 Corrective Actions and Responsibility for Errors. (2) Impose the remaining sanction period in NC FAST.

If the entire sanction period ends prior to the month the sanction can be imposed due to notice requirements, refer the entire sanction to the local DSS Program Integrity Section and do not key a sanction period.

2. Beneficiary is Discharged Prior to Sanction Effective Date a. If the beneficiary is discharged from the facility, CAP or PACE prior to the effective date of the sanction, the sanction cannot be imposed.

(1) If the sanction has already been keyed. Cancel the sanction in NC FAST and notify the a/b and authorized representative, if applicable, of termination of institutional services and the sanction will not be imposed at this time. (2) Enter a sanction for invalid transfer of assets in NCFAST. No additional institutional services periods should be authorized. Refer

b. If cost of care coverage is requested for any future institutionalization, apply the original sanction effective the date that all other eligibility criteria is met.

(1) The caseworker should not reevaluate the original sanction unless the a/b reports a change that may impact the original sanction.