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(2) Do not allow another authorized cost of care period while completing any additional transfer of assets evaluation.
c. Any additional sanctions found cannot be applied until the previous sanction has ended. 3. Applying the Sanction After Failure to Provide This section explains when to start a transfer sanction after an a/b has received institutional services for a prior period and was terminated for failure to provide. a. New Application (1) When the individual was terminated from institutional services for failure to provide information to complete the transfer of assets evaluation and found ineligible for all Medicaid programs, follow 90- day reopen procedures, when applicable. After 90 days, a new application must be submitted.
(2) In this situation institutional services cannot be approved until the transfer of asset evaluation is completed. (3) Once the individual requesting CAP, PACE, or LTC has provided the requested information and an uncompensated transfer is established, the sanction period begins on the date when they:
(a)Meet all other eligibility criteria for LTC, CAP or…#
(a) Meet all other eligibility criteria for LTC, CAP or PACE.
(b)If they had to meet a deductible, it is the date the…#
(b) If they had to meet a deductible, it is the date the deductible is met.
(4) An a/b who has a deductible does not meet all other eligibility criteria and is not otherwise eligible until the day the deductible is met. The sanction period begins on the day the deductible is met.
(a) If a deductible is met during the month of entry into a nursing facility, the sanction period begins the day the deductible is met.
(b) If the deductible is not met during the month of entry into the nursing facility, the sanction period begins the first day of the next month, the first day of long-term care budgeting. (c) Start the sanction period, beginning on the date specified in C.2.a. above.
• Determine the sanction period for the whole months calculated in B.1.a. above. • Add the fractional days to the sanction determined in B.1.b. above.