PM 19-02-03-c: Review of Spenddown EDGs for Central Cancellation

WAG 19-02-03-c

Beginning in the 6th month of the first enrollment period, the system performs a monthly review of AABD Community Spenddown cases which do not have a QMB member. If spenddown has not been met in one of the last 3 months, the case is canceled by the system unless the person New textis enrolled in the Pay-In Spenddown program or is on a waiting list to receive a transplant.  A notice is sent before cancellation informing the client:

  • that enrollment/eligibility is ending and
  • that if medical benefits are needed, they must reapply and verify income and other eligibility factors (if necessary).