M E M O R A N D U M

IM-131  10/18/02  IM-29SPDN NOTIFICATION OF SPENDDOWN COVERAGE LETTER
FORMS MANUAL REVISION #27


SUBJECT:
IM-29SPDN NOTIFICATION OF SPENDDOWN COVERAGE LETTER
FORMS MANUAL REVISION #27
 
DISCUSSION:
The IM-29SPDN, Notification of Spenddown Coverage letter, has been developed to inform the spenddown client of the months they met their spenddown, with incurred expenses.  The letter informs them of their Medicaid start date and the amount of spenddown met on the start date.  The letter will be sent to the client by the caseworker when coverage dates have been initially entered through the MSPA screen or corrected through the MSPU screen.
 
NECESSARY ACTION:
  • Review this memorandum with all appropriate staff.

    •  
  • Begin using the new IM-29SPDN upon receipt.

    •  
  • File the IM-29SPDN and instructions in the Forms Manual.

    •  
  • Order additional supplies of IM-29SPDN from the warehouse as needed.
DS
Attachments
IM-29SPDN (pdf)
IM-29SPDN Instructions (pdf)
Distribution #2
IM-130
[ 2002 Memorandums ]