Obtain the following documentation for the DHSS services, not covered by Medicare or other third party insurance, that are allowed as incurred expenses for spend down:
- Name and DCN of the MO HealthNet participant
- Name of service provider
- Date the service was provided
- Service provided
- Charge of service on the date it was provided
- Copy of care plan or similar contract
There is not a required format, but it needs to include all of the above information.
The date a medical expense is incurred is the date the individual receives the service, not the date of the bill or the date a bill is paid. The service provided should show CDS. A copy of the care plan is needed to verify the units of care the DHSS has authorized.