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F. Sanction Period When an Individual Leaves the Institution, CAP, or PACE

A sanction period runs continuously from the first date of the sanction period through the end of the sanction, regardless of whether the individual remains in or leaves the institution or continues to need CAP, PACE, or in-home health services and supplies.

G. Lifting or Reducing the Sanction Period 1. When transferred assets are returned to the a/b, evidence must be edited. 2. Assets are considered returned when: a. The actual asset is transferred back to the a/b, or

b. The a/b receives current market value as compensation for the asset after the transfer. Value may be received in cash or money spent on the client's behalf. Examples of money spent on the client's behalf are:

• children pay for private LTC, • buy a burial plot for their parents, or • pay old bills for their parents. c. The cash or money spent on the client’s behalf does not have to come from the person to whom the asset was originally transferred.

d. Verify any money spent on the client's behalf is, in fact, paid. For example, the nursing facility verifies the outstanding bill has been paid.

3. When the transferred assets (all or a portion) are returned after institutional services have been denied or terminated due to a sanction period being assigned, the sanction period must be recalculated. This may result in the entire sanction being “erased” or a shortened sanction period.

4. The returned assets are countable to the a/b in determining eligibility for the entire period they were previously not in the a/b’s name.

a. For a pending application:

• Determine resource eligibility for institutional services based on the date of application. • Reverify assets considering the returned assets as if a/b owned them throughout the sanction period. • Erase the sanction period beginning with the first month of the sanction period. b. For an ongoing beneficiary: