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

WAG 19-02-02-c

revised textBeginning in the 6th month of the first enrollment period, the system performs a monthly review of Family Health Spenddown EDGs for persons who do not have QMB or are on a waiting list for a transplant. If spenddown has not been met in one of the last 3 months, the EDG is canceled by the system. 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).