This is an archived document and does not contain the most current information for this topic. Use this document for reference only.
Medical Assistance for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability
2.3.3.4 Medical Spenddowns (Archive)
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 Spenddown Standard
The spenddown standard for MA-ABD with a spenddown is:
Before July 1, 2016: 75% FPG
On or after July 1, 2016: 80% FPG
Legal Citations
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