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• Reverify assets considering the returned assets as if a/b owned them throughout the sanction period. • Re-determine eligibility for institutional services based on the current value of all assets owned. If assets are over the allowable limit, follow procedures to allow for reduction of reserve. • The sanction period is erased beginning with the first month of the sanction period. c. When only a portion of the transferred asset is returned to the a/b, update evidence in NC FAST and recalculate the sanction period. • Reverify assets considering the returned assets as if a/b owned them throughout the sanction period. • Re-determine eligibility for institutional services based on the current value of all assets owned. If assets are over the allowable limit, follow procedures to allow for reduction of reserve. • Modify the sanction period. Refer to NC FAST Job Aid: Editing or End Dating Sanctions.

H. Budgeting During Sanction Period 1. If an a/b is sanctioned for payment of nursing home cost of care, CAP or in- home health services and supplies due to transfer of assets, continue to determine eligibility for all other MAGI and non-MAGI Medicaid programs.

2. If an a/b is sanctioned for payment of PACE services due to transfer of assets and does not disenroll from the PACE Program, evaluate for MQB only. (Refer to MA-2275, Program of All-Inclusive Care for the Elderly.)

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• Reverify assets considering the returned assets as if a/b owned them throughout the sanction period. • Re-determine eligibility for institutional services based on the current value of all assets owned. If assets are over the allowable limit, follow procedures to allow for reduction of reserve. • The sanction period is erased beginning with the first month of the sanction period. c. When only a portion of the transferred asset is returned to the a/b, update evidence in NC FAST and recalculate the sanction period. • Reverify assets considering the returned assets as if a/b owned them throughout the sanction period. • Re-determine eligibility for institutional services based on the current value of all assets owned. If assets are over the allowable limit, follow procedures to allow for reduction of reserve. • Modify the sanction period. Refer to NC FAST Job Aid: Editing or End Dating Sanctions.

H. Budgeting During Sanction Period 1. If an a/b is sanctioned for payment of nursing home cost of care, CAP or in- home health services and supplies due to transfer of assets, continue to determine eligibility for all other MAGI and non-MAGI Medicaid programs.

2. If an a/b is sanctioned for payment of PACE services due to transfer of assets and does not disenroll from the PACE Program, evaluate for MQB only. (Refer to MA-2275, Program of All-Inclusive Care for the Elderly.)

(a)Individuals enrolled in the PACE program are ineligible…#

(a) Individuals enrolled in the PACE program are ineligible for all other Medicaid programs, (excluding MQB) during the sanction period.

(b)If ineligible for MQB deny the application or terminate…#

(b) If ineligible for MQB deny the application or terminate PACE. Notify the a/b following procedures in MA-2275, Program of All-Inclusive Care for the Elderly (PACE). (c) Always explain that disenrollment from PACE is an option and refer them to the PACE organization. PACE a/bs that disenroll from PACE must be evaluated for all other Medicaid programs.

3. Budget as PLA. Refer to MA-2260, Financial Eligibility Regulations-PLA and MA-2270, Long Term Care Need and Budgeting. If it is determined that an individual must meet a deductible, see XI.C.2. above.

4. Continue to allow the community spouse resource protection when the spouse in LTC is budgeted PLA because of a transfer of assets sanction. (However, the community spouse income allowance does not apply in PLA budgeting.)