If the person has not met spenddown in one of the last 3 months and is not enrolled in QMB or on a transplant waiting list, the IES system centrally cancels the EDG through a batch trigger and sends 'Notice of Decision' (Form 360C) to the client. Form 360C contains the following message:
- "You have not met your spenddown for any of the last three months. If you still need help with medical expenses, you must reapply. An Application for Medical Assistance-Short Form is attached."