Medicaid Spend down also referred to as Medicaid deductibles are not bills that have been paid by the beneficiary. However, they are bills that have been received from any medical appointment and it includes prescription drug costs. Copies of these bills must be submitted to the DHS Specialist monthly. When the bills are received by the DHS Specialist, they keep a talley and their system will generate a report letting them know what beneficiaries have/have not met the Spend down/Deductible. If the deductible is not met for 3 consecutive months, the beneficiary will receive a letter informing them that their Medicaid benefits have been suspended. If this happens, they must reapply. The Spend down/Deductible amounts are set by the DHS system and it is based on the information entered on behalf of the beneficiary. The DHS Specialist DOES NOT PERSONALLY SET THE AMOUNT!
A. Smith, Dearborn Heights Co-op
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