[Ohio-talk] FW: Proposal to Make Medicaid Recipients Pay forCare

Jerry Purcell jerry-purcell at sbcglobal.net
Sat Apr 23 18:00:54 UTC 2016


Greetings,
      The spend down system, in Ohio, is going away.  I believe the 
effective date for its demise is July 1 this year.


            Jerry
----- Original Message ----- 
From: "Chuck Hallenbeck via Ohio-Talk" <ohio-talk at nfbnet.org>
To: "Suzanne Turner via Ohio-Talk" <ohio-talk at nfbnet.org>
Cc: "Chuck Hallenbeck" <chuckhallenbeck at gmail.com>
Sent: Saturday, April 23, 2016 11:21 AM
Subject: Re: [Ohio-talk] FW: Proposal to Make Medicaid Recipients Pay 
forCare


>a Eligibility for Medicaid is based on need, and involves the concept
> of "excess income."  Medicaid determines what it would cost to meet
> one's basic needs, then determines what income and assets the applicant
> already has.  If one's income exceeds what it costs one to live, the
> difference is called "excess income."
>
> If an applicant for Medicaid has "excess income" he must first spend
> that much each month before Medicaid pays for the rest.  That is what
> is meant by "spend-down."  One must spend down each month by the amount
> of one's excess income before you get a nickle from Medicaid.
>
> So where are Medicaid recipients supposed to get money to pay for a part
> of their care?  I don't get it.  By definition any excess income they
> have is already committed to the cost of their care.
>
> Chuck
>
>
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