Medicaid Spenddown / Surplus - New York

Medicaid Spenddown/Surplus is a legal document that was released by the New York State Department of Health - a government authority operating within New York.

FAQ

Q: What is Medicaid Spenddown/Surplus?
A: Medicaid Spenddown/Surplus is a program in New York that helps individuals with income over the Medicaid limit qualify for Medicaid coverage by allowing them to spend down their excess income on medical expenses.

Q: Who is eligible for Medicaid Spenddown/Surplus in New York?
A: To be eligible for Medicaid Spenddown/Surplus in New York, an individual must have income above the Medicaid limit and meet other Medicaid eligibility criteria.

Q: How does Medicaid Spenddown/Surplus work?
A: Under Medicaid Spenddown/Surplus, individuals are required to spend their excess income on medical expenses in a certain period of time called the spenddown period. Once they meet the spenddown amount, they become eligible for Medicaid coverage.

Q: What expenses can be used to meet the spenddown amount?
A: Expenses that can be used to meet the spenddown amount include medical bills, health insurance premiums, and certain other health-related costs.

Q: Is there a limit to how much a person can spend down?
A: There is no limit to how much a person can spend down in order to meet the spenddown amount and qualify for Medicaid coverage.

Q: How long does the spenddown period last?
A: The spenddown period typically lasts for six months in New York, during which the individual must meet the spenddown amount.

Q: What happens if a person doesn't meet the spenddown amount?
A: If a person doesn't meet the spenddown amount within the spenddown period, they will not qualify for Medicaid coverage and will have to continue paying for their medical expenses using their own income.

Q: Can a person have both Medicaid and private health insurance?
A: Yes, individuals who qualify for Medicaid through the spenddown program can also have private health insurance.