WAG 15-08-02.

The spenddown enrollment period differs for Community cases and LTC/SLF cases. The enrollment periods are as follows.

Community Cases

The enrollment period for Community Spenddown cases is 12 calendar months. Community Spenddown cases that do not have a person who is All Kids Assist, Moms and Babies, QMB, SLIB, QI-1, or on a waiting list for a transplant, are centrally reviewed monthly beginning in the 6th month of the enrollment period to determine if spenddown was met in one of the last 3 months (including the 6th month). If spenddown was not met in any one of the 3 months, and the case does not have SNAP, the case is canceled for the 7th month.

If spenddown was met, or the case has a person who is All Kids Assist, Moms and Babies, QMB, SLIB, or on a waiting list for a transplant, the case remains active. REDE the case every 12 months.

LTC/SLF Cases

There is no set enrollment period for LTC or SLF spenddown cases. These cases remain active for an indefinite length of time. They are not centrally canceled after the 12th month as are community cases.