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MEDICAL SERVICES POLICY MANUAL, SECTION B

B-600 Medically Needy (Exceptional and Spend Down)

B 601 Exceptional Medically Needy

B-600 Medically Needy (Exceptional and Spend Down)

MS Manual 08/15/14 The Medically Needy Program is intended to provide medical services for categorically related individuals or families whose income and/or resources exceed the limits for cash assistance but are insufficient to provide medical care. The two types of coverage within the Medically Needy Program are Exceptional Medically Needy (EC) and Spend Down Medically Needy (SD).

B-601 Exceptional Medically Needy MS Manual 08/15/14 This group consists of individuals or families whose income is within the Medically Needy Income Level and whose resources fall within the specified limits of the Medically Needy Program. Refer to MS Section O. B-602 Spend Down Medically Needy MS Manual 08/15/14 This group consists of individuals or families whose household income is above the Medically Needy Income Level (MNIL) and resources are within the Medically Needy Resource Limit (MNRL). The excess income that is above the MNIL must be obligated or spent for medical services. Refer to MS Section O.