0840.000.00 Reviews and Interim Activities

0840.010.25 Increase in Spend Down Amount

IM-106 September 10, 2002

If a change results in the claimant’s spend down amount increasing, the change is effective with the second month following the month the Advance Notice of Adverse Action (IM-80) expires.  The reason for this is DMS will have already been sent the claimant an invoice for the month following the month the IM-80 expires.  In some cases the claimant may have already paid-in for the next month.