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

WAG 19-02-03-c

Beginning in the seventh month of the enrollment period, IES performs a monthly review of AABD Community spenddown EDGs. The AABD Community spenddown EDG will close when zero out of six months have been met, unless the individual is enrolled in the Pay-In Spenddown program, on a waiting list or would be on a waiting list to receive a transplant if he or she had a source of payment. The EDG closure will not occur if at least one out of the six months is met.

A notice is sent before closure informing the customer:

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