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Spend down is the different between your countable income and assets and the Medicaid standard for your State. You do not owe this to the State; rather, to received Medicaid you must show that you have incurred (but not necessarily paid) medical expenses equal to your spend down. In view of this, I suppose that medical bills you pay online could count toward your spend down if you can provide third party verification of those payments.

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15y ago

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