Page 709

West Virginia Income Maintenance Manual Chapter 4

West Virginia Income Maintenance Manual Page 237 Chapter 4 Income

➢ Meeting the Spenddown of Adults Use the bills of: • The adult(s) who is the parent(s) or other caretaker relative • The spouse of the parent or other caretaker relative • The dependent children and their blood-related siblings of the parent or other caretaker relative • The dependent children and their blood-related siblings of the spouse of the parent or other caretaker relative ➢ Meeting the Spenddown of Children Use the bills of: • The child • The parent(s). Do not use the bills of the caretaker relative other than a parent. • The stepparent • The blood-related siblings of the child • The dependent children of the stepparent and their blood-related siblings in the home. Because the individuals whose medical expenses are used to meet a spenddown may be in separate AGs, the same medical bill is used to meet the spenddown in each AG containing one of the persons identified above. ➢ Meeting the Spenddown Examples Example 1: A mother and her two children apply for Medicaid. Also, in the home is the mother's husband, who is the stepfather of the children. His medical bills are used to meet the spenddown of his wife and of both children. NOTE: The past medical bills of any of the individuals listed below that were incurred while the individual lived with an AG member(s) may be used for spenddown, even if the individual no longer lives with the AG member, is deceased, or is divorced from the AG member. The AG member must be responsible for the bill at the time it was incurred and remain responsible for payment.

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Page 709

Official source

West Virginia Income Maintenance Manual Chapter 4

West Virginia Income Maintenance Manual Page 237 Chapter 4 Income

➢ Meeting the Spenddown of Adults Use the bills of: • The adult(s) who is the parent(s) or other caretaker relative • The spouse of the parent or other caretaker relative • The dependent children and their blood-related siblings of the parent or other caretaker relative • The dependent children and their blood-related siblings of the spouse of the parent or other caretaker relative ➢ Meeting the Spenddown of Children Use the bills of: • The child • The parent(s). Do not use the bills of the caretaker relative other than a parent. • The stepparent • The blood-related siblings of the child • The dependent children of the stepparent and their blood-related siblings in the home. Because the individuals whose medical expenses are used to meet a spenddown may be in separate AGs, the same medical bill is used to meet the spenddown in each AG containing one of the persons identified above. ➢ Meeting the Spenddown Examples Example 1: A mother and her two children apply for Medicaid. Also, in the home is the mother's husband, who is the stepfather of the children. His medical bills are used to meet the spenddown of his wife and of both children. NOTE: The past medical bills of any of the individuals listed below that were incurred while the individual lived with an AG member(s) may be used for spenddown, even if the individual no longer lives with the AG member, is deceased, or is divorced from the AG member. The AG member must be responsible for the bill at the time it was incurred and remain responsible for payment.