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For beneficiaries enrolled in a PHP, the PHP must be notified of changes to eligibility of institutional services. Send a copy of the DSS-8110, Notice of Modification, Termination, or Continuation of Public Assistance to the DHB Business Support by email the same day when:

1. A beneficiary terminates due to failure to provide information needed to complete the transfer of assets evaluation or due to a sanction being imposed. 2. A beneficiary regains eligibility due to providing the information, successfully rebutting the sanction or an appeal.

E. Hearing Process Refer to MA-2420, Notice and Hearings Process, regarding the hearing process.

XIV. TRACKING TRANSFER OF ASSETS SANCTION PERIOD

NC FAST will track the sanction period once all evidence is updated and the recommended sanction is accepted.

1. When a sanction is accepted, eligibility for affected programs will show as ineligible until the sanction period ends.

2. The Assets Transfer evidence in NC FAST should be updated once a transfer of assets evaluation has been completed. This may occur when processing an application, a redetermination, an exparte recertification for an SSI beneficiary, reported by the a/b, or notified by any source that a transfer has occurred.

3. The Assets Transfer evidence must be updated for all cases, even if there have been no non-allowable transfers. Example- Homesite was transferred to an allowable person. There is no transfer sanction, but the evidence should still reflect that there was a transfer. 4. An a/b who is ineligible for institutional services due to a transfer of assets sanction may be authorized for other Medicaid covered services.

a. Authorize Medicaid under PLA provided the a/b meets all other Medicaid eligibility factors.

b. Make sure all evidence is updated to reflect any transfers made by the a/b and sanctions are correct. Refer to NC FAST Job Aid Sanctions for Transfers of Assets. c. Once a sanction is applied, it continues until it is completed. The sanction period continues and costs for in-home health services and supplies will not be paid if the institutionalized a/b returns to private living.

XV. TRANSFER OF ASSETS GLOSSARY

Refer to MA-200 Definitions for additional terms relating to transfers of assets.