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(d) Certification under this provision shall cover only those incurred medical bills that are not subject to third-party payment and remain the liability of persons in the assistance unit.

(2) Persons Eligible for Retroactive Coverage Without Spend-Down.

(a) Certification begins on the first day of the earliest month of the retroactive period under consideration in which coverable medical expenses were incurred.

(b) Certification ends on the last day of the most recent month in the retroactive period in which coverable medical expenses were incurred.

(c) Only persons who have coverable medical expenses during the period under consideration shall be certified.

(d) Certification under this provision shall cover only those incurred medical bills that are not subject to third-party payment and remain the liability of persons in the assistance unit.

(3) Persons Eligible for Current Coverage Under Spend-Down.

(a) Certification begins on the day in the period under consideration on which medical expenses for services already received equal or exceed the amount of excess income. The beginning date of the certification period shall be established to exclude from coverage any full day after the application date and before the certification date for which all expenses for medical services were used to establish spend-down eligibility.

(b) Certification ends on the last day of the period under consideration.

(4) Individuals Eligible for the Maryland Medicaid Managed Care Program. (a) Initial certification shall be a period of 6 months. (b) Section C(4)(a) of this regulation applies only if the individual: