The kind of transfers granted depends on the severity of the frailty (care level) and the type of care arrangements chosen (by family members, care providers or in a nursing home). Persons requiring home care can thus either draw lump-sum transfers (Geldleistung), in-kind transfers (Sachleistung), or a combination of both. Only lump-sum transfers can be claimed for nursing home care. German legislation assigns priority to home care over nursing home care and the LTC insurance is expected to continue supporting patients being cared for at home for as long as possible. This means that the Medical Review Board must assess.