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c. Select the correct change reason, NCFAST will send a DSS-8110, Notice of Modification, Termination, or Continuation of Public Assistance. Notice must be timely.

3. If an ongoing beneficiary that is already receiving institutional services is not granted an undue hardship waiver because: a. They failed to request the waiver, or the information provided does not establish that undue hardship exists, b. Apply the sanction as directed in XI. C. above. The individual is not eligible for institutional services until the sanction ends. c. Select the correct change reason, NC FAST will send a DSS-8110, Notice of Modification, Termination, or Continuation of Public Assistance. Notice must be timely.

4. For instructions on applying the sanction in NCFAST, refer to NCFAST Job Aid Sanctions for Transfers of Assets.

5. After the timely notice period has expired:

a. Notify the facility that the beneficiary is no longer eligible for payment of nursing home cost of care.

b. For CAP beneficiaries, notify the CAP lead agency/case manager that the a/b is no longer eligible for CAP.

c. For PACE beneficiaries, notify the PACE organization by sending the DHB- 5106, Medicaid/PACE Referral.

6. Although an a/b under a transfer of assets sanction may not be eligible for assistance with institutional services, they may be eligible for other Medicaid covered services.

a. Evaluate for all other programs and if the a/b remains eligible for PLA Medicaid, b. Notify the a/b and authorized representative, if applicable, of the decision. c. Select the correct change reason. NC FAST will send a DSS-8110, Notice of Modification, Termination, or Continuation of Public Assistance. Notice must be timely.

Note: Beneficiaries under a transfer of assets sanction and enrolled in the PACE Program are ineligible for Medicaid in any aid program/category except MQB. Refer to MA- 2275, Program of All-Inclusive Care for the Elderly.

D. Beneficiaries enrolled in a Pre-paid Health Plan (PHP)