Check Eligibility

The following is a high level summary of the check eligibility functionality.

Caseworkers are provided with the ability to:

• Check eligibility executes rules for medical assistance coverage types including medical assistance programs with Spend Down
• View the decisions (eligible & ineligible)
• View the automatically calculated Spend Down amount

Spend Down is calculated on a period basis. Eligibility and the appropriate Spend Down amount must be re-determined each period. When the individual meets this Spend Down amount, he or she can receive Medical Assistance coverage from the date that Spend Down was met until the end of the specified Spend Down period.