The Eligibility Determination process involves the determination of eligibility for the Spend Down Medical Assistance program. Eligibility is determined for Spend Down by evaluating evidence recorded in the system against a predefined set of rules which are specific to Spend Down. In order for an individual to be eligible for Spend Down, that individual must first be eligible on all categories except income for the Medically Needy coverage types specified for Spend Down. Once determined eligible for the Medical Assistance with Spend Down coverage type, the individual must then meet the Spend Down amount for the budget period.