What if my bills are more than my monthly Spend Down?

If the bills you provide to the Family Support Division (FSD) are more than your Spend Down, you have to decide what to do. If you have bills that are over your monthly Spend Down amount that aren’t going to be paid by the MO HealthNet Division (MHD), you can use the amount over your monthly Spend Down to meet your Spend Down in a later month. You must decide if you want the bill paid or if you want to use it to meet Spend Down in a later month.

Spend Down Program

  1. What is Spend Down?
  2. How much is my Spend Down amount?
  3. How do I pay my Spend Down?
  4. How do I meet Spend Down using medical expenses?
  5. What types of medical expenses qualify to be counted toward Spend Down?
  6. What do I do if I changed bank accounts and my Spend Down is automatically withdrawn each month?
  7. I can’t afford to pay my Spend Down, but I thought it could be “met” with medical bills. Why do I keep getting invoices with due dates for payment?
  8. Do I have to pay the medical bills to use them to meet my Spend Down?
  9. Whose medical bills can I use?
  10. How old can medical bills be if I want to use them to help meet spend down this month?
  11. Can I use bills, expenses or receipts more than once to meet spend down?
  12. What if my bills are more than my monthly Spend Down?
  13. What if my bills are less than my monthly Spend Down?
  14. Are there medical bills that MO HealthNet (Medicaid) won’t pay if I am in the Spend Down program?
  15. I submitted my medical bills to meet my Spend Down but my MO HealthNet (Medicaid) is still not active. Is there a problem?
  16. What is acceptable verification of medical expenses?
  17. Do I have to pay or reach my Spend Down every month?
  18. How can I verify I am covered after submitting my payment?
  19. Why did my Spend Down amount go up?
  20. What is the income limit for the Adult MO HealthNet (Medicaid) program?
  21. What should I do if my doctor will not take the MO HealthNet (Medicaid) card?
  22. What if I disagree with FSD about something with my Spend Down?
  23. I was approved for MO HealthNet (Medicaid) but my provider says I am “inactive”. What should I do?

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