Medical Assistance for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability
A medical spenddown is a cost-sharing approach that allows Medical Assistance (MA) eligibility for people whose income is greater than the applicable income limit. Federal rules refer to this population as “medically needy.”
People with an aged, blind or disabled basis of eligibility, who are not eligible for Medical Assistance for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability (MA-ABD) because they are over the income limit and who have medical expenses may be eligible for MA-ABD with a spenddown.
See the MA for Families and Children Medical Spenddown policy for more information about medical spenddowns for parents, pregnant women and children.
Topics included in this section are:
MA-ABD Medical Spenddown Types
MA-ABD Health Care Expenses
A person may qualify for MA-ABD with a Medical Spenddown up to three months before the month of application.
A person may be eligible for MA-ABD with a Medical Spenddown in the same month they are or were eligible for or enrolled in MinnesotaCare, Advanced Premium Tax Credits (APTC) or qualified health plan (QHP) without subsidy. Eligibility for or enrollment in MinnesotaCare, APTC, or QHP without subsidy is not a barrier to eligibility for MA-ABD with a Medical Spenddown.
The spenddown standard for MA-ABD with a spenddown is:
Before June 1, 2019: 80% FPG
On or after June 1, 2019: 81% FPG
Code of Federal Regulations, title 42, section 435.811
Code of Federal Regulations, title 42, section 435.831
Code of Federal Regulations, title 42, section 435.840
Minnesota Statutes, section 256B.056, subdivision 5