625.03 Six-Month Spenddown (MAM)

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Calculate a six-month spenddown:

1. Determine net case income. Follow the steps in PART 615, Budgeting.

2. Subtract the protected income level (PIL) from net case income.

3. The difference is the individual's monthly spenddown amount.

4. Multiply the monthly spenddown times 6.

5. The result is the six-month spenddown amount.

6. Take all known changes into account before opening the assistance group for In and Out medical assistance and if necessary, recalculate the spenddown amount.

7. Offset the six-month spenddown by allowable medical expenses (see Section 625.05, Allowable Medical Expenses).

8. Eligibility begins the day the assistance group's medical expenses meet the six-month spenddown. Eligibility continues through the last day of the six-month spenddown period, provided the assistance group continues to meet all eligibility requirements.