617.03 Six-Month Spenddown SR 94-04, 04/94 (FAM-A)

Calculate a six-month spenddown:

1.  Determine net case income. Follow the steps in Part 611.01 , Computing Eligibility.

2.  Subtract the protected income level (PIL) from net case income. The difference is the assistance group’s monthly spenddown amount.

3.  Multiply the monthly spenddown by 6.

4.  The result is the six-month spenddown amount.

5.  Take all known changes into account before opening the assistance group for In and Out medical assistance and if necessary, recalculate the spenddown amount.

6.  Offset the six-month spenddown by allowable medical expenses. See Sections 617.05, Offsetting the Spenddown, and 603.09, Other Allowable Deductions.

Eligibility begins the day the assistance group’s medical expenses equal or offset the six-month spenddown and continues through the last day of the six-month spenddown period, provided the assistance group continues to meet all eligibility requirements.