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Medicaid: Spend Downs (also known as: Medically Needy)

How To Apply For Spend Down

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The procedure is different in each state which permits spend downs. In general:

Step 1.    You  complete a form that indicates you want to apply for Medicaid with a spend down.
Step 2.    The Medicaid office will tell you your monthly spend down amount.
Step 3.    Each month you will need to supply receipts and bills showing that you have been billed for or paid the amount in allowable medical expenses for which you                      are responsible. (The state may exclude certain types of medical expenses from the spend down.)

NOTE: Depending on the state in which you live, you can ask Medicaid to look back three months prior to your application and to pay or reimburse you for medical expenses incurred when you would have been under the spend down limit. 

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