The process by which an applicant for Medicaid benefits becomes or remains eligible by using up financial resources that are in excess of the limits set up by the Medicaid program.
Under the Medicaid program, a method by which an individual establishes Medicaid eligibility by reducing gross income through incurring medical expenses until net income (after medical expenses) meets Medicaid financial requirements. A resident spends down when he/she is no longer sufficiently covered by a third-party payer (usually Medicare) and has exhausted all personal assets. The resident then becomes eligible for Medicaid coverage.
A process by which individuals that would be eligible for Medicaid but for their income can use incurred medical expenses to meet the income limit. The monthly income limits for a program subtracted from an individuals gross income would give a “spend down” for a particular individual.
Procedure whereby Medicaid applicants use a portion of savings and other resources on medical expenses in order to meet Medicaid resource eligibility requirements. Can also apply to income spend down for states with a medically needy component to Medicaid (c urrently not available in Delaware). Also see medically needy.
Medicaid financial eligibility requirements are strict and may require beneficiaries to spend down/use up assets or income until they reach eligibility level.
A process of spending excess assets to meet Medicaid eligibility requirements.
depletion of income and assets to meet eligibility requirements for Medicaid (Medi-Cal in California).
This is the process by which applicants for programs such as Medicaid spend savings and other resources in order to meet the eligibility requirements.
Depletion of assets to pay for long-term care to the point where a person becomes eligible for Medicaid.
This describes the process of spending one's assets in order to become eligible for Medicaid by bringing the countable assets below the limit of assets allowed.
This term is used to describe the process of spending one's assets in order to become eligible for Medicaid by bringing the countable resources below the limit of resources allowed.
This option allows a person to spend down to Medicaid eligibility by having medical expenses that can be subtracted from their income. Subtracting medical expenses such as prescription drugs and eye glasses from your income can reduce a person’s income to a level below the maximum allowed by a particular state’s Medicaid plan.
A requirement that an individual use up most of his or her income and assets to meet Medicaid eligibility requirements.
A term used in Medicaid for persons whose income and assets are above the threshold for the state's designated medically needy criteria, but are below this threshold when medical expenses are factored in. The amount of expenditures for health care services, relative to income, that qualifies an individual for Medicaid in States that cover categorically eligible, medically indigent individuals. Eligibility is determined on a case-by-case basis.