Requirements

ABD Medically Needy (AMN) is a class of assistance (COA) that provides Medicaid coverage for aged, blind, or disabled individuals whose income and/or resources exceed income and resource limits for all other ABD Medicaid COAs.

There are two types of Medically Needy cases.

De Facto eligible occurs when the A/R’s net countable income is less than or equal to the ABD Medically Needy Income Level (AMNIL) and resources are less than or equal to the AMN resource limit.

Spenddown eligible occurs when the A/R’s net countable income is greater than the AMNIL. The amount of income greater than the AMNIL, called the spenddown, is offset by incurred medical expenses. Resources must also be less than or equal to the AMN resource limit.