IM-55 June 2, 2023; IM-106 September 10, 2002
If a change results in the participant no longer being eligible for MHABD on a Non-Spend Down basis, the case must move to Spend Down effective the first day of the month following the month the change is processed. An Adverse Action period must be observed. NEVER CLOSE an MHABD case to change it to Spend Down.