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Wisconsin Department of Health and Family Services Obsolete Medicaid Eligibility Handbook For the current MEH, see http://www.emhandbooks.wi.gov/meh-ebd/ For the current BC Plus Handbook, see http://www.emhandbooks.wi.gov/bcplus/ |
Cost sharing is the monthly amount a waivers participant may have to contribute toward the cost of his/her waiver services. Count only the income Income is anything you receive in cash or in kind that you can use to meet your needs for food, clothing, and shelter. of the client when you calculate the cost share.
Payment of the cost share is a condition of eligibility. See 5.9.9.2.1 for instructions about how to calculate a cost share.
The spenddown obligation is the amount a Group C waivers participant must incur monthly in medical/remedial expenses and/or MA card services to lower countable income to the Medically Needy Income limit (8.1.5). The care manager monitors and documents that this occurs monthly.
A single Group C waivers participant must:
Incur, and
Be held financially responsible for the spenddown amount on a monthly basis.
A married Group C waivers participant must:
Incur the spenddown amount, and
Pay the cost share monthly, if applicable.
This page last updated in Release Number: 03-03
Release Date: 09/01/02
Effective Date: 09/20/02