PM 19-02-03-d.

The application form used in this situation is Application for Medical Assistance - Short Form (HFS 2431).

Use TA 12/TAR 98 to reinstate assistance if a person is determined eligible for enrollment in spenddown and the case is in met status on the regular roll.

If the only reason a person is being enrolled in spenddown is because they are on a waiting list for a transplant, a statement is required from the transplant center.