7532 Financial Eligibility in the Medically Needy Programs (Spenddown)

Financial eligibility exists if allowable incurred medical expenses, as specified in this section, equal or exceed the spenddown for the base period and resources do not exceed program limits. Expenses used to satisfy the spenddown amount remain the responsibility of the individual and are not subject to Medicaid reimbursement. See 7430(2) for establishing the spenddown amount.