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transfer procedures in MA-2221, County Residence and see NC FAST job aid: Completing a County Transfer. When the a/b remains enrolled in the same PACE Organization, there will be no break in PACE Medicaid.

C. Sanction Status

1. Applications

When an individual applies for Medicaid, and a transfer of assets sanction period has been determined, and the individual remains enrolled in the PACE program, evaluate for MQB only. Individuals enrolled in the PACE program are ineligible for all other Medicaid programs, (excluding MQB) during the sanction period.

a. If eligible for MQB, authorize Medicaid without PACE designation in NC FAST.

(1) Refer to MA-2300, Application.

(2) Send the DHB-5106, Medicaid/PACE Referral, to notify the PACE organization the beneficiary is not eligible for payment of PACE services.

b. If ineligible for MQB

(1) Deny the application. NC FAST will send a DSS-8109, Notice of Benefits Denied or Withdrawn. Refer to MA-2300, Application and MA-2240, Transfer of Assets. Deny the application.

(2) Send the DHB-5106, Medicaid/PACE Referral, to notify the PACE organization the beneficiary is not eligible for payment of PACE services.

2. Ongoing

When a transfer of assets sanction is imposed, and the beneficiary remains enrolled in the PACE program, evaluate for MQB only. Individuals enrolled in PACE are ineligible for all other Medicaid programs (excluding MQB) during the sanction period.

a. If eligible for MQB, after following policy found in MA-2240, Transfer of Assets, allowing the beneficiary opportunity to rebut the transfer/request undue hardship:

(1) Generate a timely DSS-8110 Notice of Modification, Termination, or Continuation, in NC FAST, to impose the sanction and notify the a/b that their full Medicaid will end. The caseworker should ensure that the correct reason and case outcome are selected. See