MEMORANDUM

DISCUSSION:

The Spend Down Notification (IM-29(SPND)) form has been revised. The revision notifies participants:

• of the option to have incurred medical expenses currently owed and exceeding their spend down amount for the current month applied to future months, up to 3 months; and
• if they have submitted medical expenses that do not meet spend down, they may send in a partial payment to the MO HealthNet Division (MHD) Premium Collections.

The revised form also includes a Spend Down Payment Option page.

Eligibility specialists must use the IM-29(SPDN) to notify participants:

• when they have met their spend down liability
• when they have provided medical expenses that do not meet their spend down liability, or
• when medical expenses they have provided were not allowed to meet their spend down and why.

If they have not met their spend down, this form explains their options for meeting spend down. If participants have provided partial bills, they may send a partial payment to MHD by sending the Spend Down Payment Option page with their check or money order.

SPEND DOWN PAYMENT OPTION

The participant can provide proof of additional incurred medical expenses to meet spend down, or they can complete the Spend Down Payment Option page and mail in a partial payment to MHD Premium Collections (spend down), PO Box 808001, Kansas City, MO 64180-8001.

This page is also used by participants who send in medical expenses that are currently owed to be applied toward their spend down for up to 3 future months.

Instructions have been created for the IM-29(SPND) and are available in the forms manual.

NECESSARY ACTION:

• Review this memorandum with appropriate staff immediately.
• Send IM-29(SPND) to participants as notification of spend down upon receipt of bills:
  • When they have submitted bills that do not meet their spend down to inform them of the amount of their remaining spend down liability and their options
  • When they have submitted medical expenses that are not allowable expenses towards spend down.
  • When they have submitted medical expenses that meet their spend down to inform them of their dates of coverage.

ATTACHMENTS:

• IM-29(SPND) with Spend Down Payment Option page
• IM-29(SPND) instructions

AC/ks