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c. Approve institutional services immediately once LTC, CAP or PACE eligibility is met. (1) Do not wait even if the transfer of assets information has not been provided or the transfer of assets evaluation is not yet completed. (2) Do not wait while reviewing information that has been provided. 2. After approving initial LTC/CAP/PACE coverage, if additional information for the transfer of assets evaluation is still needed, follow policy MA-2352 or MA- 3410 Change In Circumstance, Terminations, And Reopening. Send an additional request allowing 12 calendar days for the beneficiary to respond to the DHB-5097 Request for Information.
3. If the a/b is making a subsequent request for institutional services, review V. D. 2. below for guidance.
B. Requesting Verification
Once the lookback date has been established:
1. Gather Transfer of Assets Information
The DHB-5203 Transfer of Asset Evaluation form can be used as a tool to collect the vital information needed to assist in exploring assets that may have been owned or transferred during the lookback.
a. Attempt to collect this information as soon as possible at application or report of change in circumstance. It is the responsibility of the local agency to gather and document all the information included on the DHB-5203. A best practice is to complete the form in person or over the phone when the request for institutional services is made.
b. If unable to obtain the information in person or over the phone, send the a/b or their representative, a DHB-5097 Request for Information with the DHB- 5203 Transfer of Assets Evaluation form. Follow the appropriate policy for application or change in circumstance and allow the appropriate time for the form to be returned (i.e., two 12- day for applications, or one 12- day for changes in circumstances). c. The form can be completed and returned by the a/b or their authorized representative by any of the following modalities:
• In person • Telephone • Mail • Electronic/fax • ePASS (for beneficiaries with a linked account)