0810.000.00 MO HealthNet Coverage

0810.010.05 Processing Spend Down MO HealthNet Cases

IM-22 April 11, 2024; IM-08 January 24, 2012; IM-126 October 3, 2002; IM-106 September 10, 2002

Once a participant is determined eligible for MO HealthNet on all factors, the case must be approved and will remain active until a change in the participant’s situation causes ineligibility on a factor other than meeting spend down.  Any proposed closing, increase in spend down, or change from Non-Spend Down to Spend Down requires normal adverse action procedures to be followed.

Note: Continuous Eligibility for Children (CEC) must be applied to eligible participants under the age of 19. Refer to section 1805.070.00 Continuous Eligibility for Children (CEC) in the MAGI Manual.