625.01 One-Month Spenddown (MAM)

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Calculate a one-month spenddown:

1. Determine net case income. Follow the steps in PART 615, Budgeting.

2. Subtract the protected income level (PIL) from net case income.

3. The difference is the individual's monthly spenddown amount.

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

5. Offset the monthly spenddown by allowable medical expenses. See Section 625.05, Allowable Medical Expenses.

6. Eligibility begins on the day the assistance group's allowable medical expenses meet the monthly spenddown and continues through the last day of that month, provided the assistance group continues to meet all eligibility requirements.