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b. Program of All-Inclusive Care for the Elderly (PACE). 3. In-home health services and supplies under MAGI or non-MAGI rules:

a. But only after being sanctioned for the above services, and b. A portion of the sanction period remains after the individual stops receiving institutional services. B. Do Not apply transfer rules to:

1. Individuals who do not request or receive institutional services or in-home health services and supplies,

2. Individuals who request or receive in-home health services and supplies that have not been sanctioned for prior institutional services,

3. Individuals in acute care in a hospital (not nursing facility level of care), regardless of length of stay, and who are discharged to a private living arrangement (PLA) or die without ever leaving acute care. Transfer rules do not apply even though long-term care budgeting applies,

4. Individuals in the psychiatric unit of a hospital,

5. Children under age 21 admitted to a Psychiatric Residential Treatment Facility (PRTF), 6. Individuals requesting MSB, MQB-B, MQB-E, and MWD. Refer to MA-200 Definitions for the acronyms.

7. A married individual authorized for institutional services when the community spouse (CUSP) transfers an asset.

C. Apply transfer rules to the following types of income and assets: Transfers of countable and excluded assets except for those listed under MA-2230, Financial Resources, I.A.6.

1. Any real or personal property including: • Homesite • Tenancy-in-common • Life estate interest in real property • Purchases of life estates, including life estates in another individual’s home • Vehicles and liquid assets

2. Income (including a lump sum) transferred in the month of receipt,

3. Purchase of promissory note, loan, or mortgage,