PM 15-08-03.

  1. When a client or someone in their behalf asks to determine if spenddown has been met, ask them to send or bring new textor upload medical expenses.
  2. Immediately determine if spenddown is met, when medical bills/receipts new text and payments are received. The determination should be made through new textIES within 2 workdays of the day the bill/receipts and payments are received.  See WAG 15-08-05 for proof of allowable medical costs.

 Revised textIES determines whether spenddown is met.  IES uses medical expenses and payments in the following order:

  • Receipts, including carryover amounts from receipts used in previous months, subject to the 6-month limit on the use of receipts. IES uses the oldest receipt first.
  • Medical bills, including carryover amounts from bills used in previous months. IES use the oldest bill first. Consider bills for the current month by service date (oldest first).
  • added textPayments for Pay-In Spenddown
  • Deleted text