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Spend down is the amount one must incur in medical expenses (paid or unpaid) before Medicaid eligibility begins. It is the difference between one's non-exempt income and assets and the income and asset standards in one's State - e.g., non-exempt income = $800/month/non-exempt assets = 0; State income standard = $700/month; spend down = $100.

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12y ago
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11y ago

If this is referring to Medicaid, the process of "spending down" is usually undertaken in order to qualify for Medicaid assistance with paying for long-term care in a nursing home.

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Q: What does spend down mean?
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How does the Medicaid spend down work?

Persons who meet the "non-financial" factors of eligibility (e.g., citizenship) but whose countable income and assets exceed the State's limits can be enrolled in Medicaid with a spend-down. Homestead property and personal property including a motor vehicle do not count. The monthly spend-down amount is the difference between the person's countable income and assets and the State's limit. When the person's medical expenses (paid or unpaid) meet or exceed the spend-down amount for a given month, the person may receive Medicaid for that month. Expenses can be carried over to meet spend-down for a different month.


What does laid down mean?

To "lay down" is to "set something down", and it doesn't always mean set something down on the ground. However, there are other definitions. Take this sentense for instanse: Henry layed down the job offer because he wanted to spend time with his family. If one is to lay down a good offer, they are refusing, usually because of something, like in this sentence, Henry wanted family time.


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