Send Notice of Changes During the Medical Assistance Enrollment Period or Eligibility Period (Form 2434A), (with Form 458SPA/SPB attached, if needed), to notify the client of the new spenddown amount.
NOTE: Case does not have to be in met status for the period requested.
Example: A spenddown case was open 08/02 - 07/03. A child born 08/31/02 was not added to case. The newborn is determined Moms and Babies eligible. Add the newborn to the canceled case for 08/31/02 -