- If eligible, approve Medical:
- for the month of death,
- the month of application, and
- any other consecutive month within the 3 months before the month of application.
- Complete and mail Form 2432:
- if nonexempt income is over the standard; and/or
- nonexempt assets are over the asset limits (spenddown); and
- allowable medical costs met spenddown.
NOTE: Do not complete a Form 2432 when spenddown is met by carryover, old bills, or a noncovered service.