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COMBINED MEDICAID 700 Medically Needy Overview Supersedes: CMA (07/01/16) Reference: 42 CFR 435.301, 320, .322, .324, .403, .811, .831, .840, .845; ARM 37.82.101, 37.82, 37.82.1101 - .1111 Overview: Eligibility is determined for medically needy clients who are expected to meet their monthly spend down (either with incurred medical expenses or through a cash option payment to the Department). The spend down is equal to the difference between their ‘total countable income’ and the appropriate ‘medically needy income level (MNIL)’. Medically needy Medicaid coverage is provided to clients who: 1. Meet all Medicaid non-financial requirements for the following programs a. Family; b. Qualified Pregnant Woman; c. Child-Medically Needy; d. Non IV-E Foster Care; or e. Aged, blind or disabled. 2. Have countable resources within the appropriate limits 3. A spend down is established; 4. Meet their spend down obligation by: a. incurring medical expenses equal to their spend down amount; b. making a cash payment to the department; or c. using a combination of incurred medical expenses and cash payment NOTE: All eligibility criteria must be met for each month of medically needy coverage. HOUSEHOLD COMPOSITION: Family Medically Needy: Unless pregnant, the needs of parent(s) or other specified caretaker relatives cannot be included in medically needy coverage. Only children and pregnant women can receive Family Medically Needy coverage. BENEFIT AUTHORIZATION: Medically needy Medicaid is authorized/issued after: