Needy Program, Utah Medicaid.
The "Spenddown" Program.
Some people applying for Medicaid meet all conditions to
qualify, except their monthly income is more than the Medicaid
limit. In this case, the eligibility
worker will determine if the person can qualify
for the Medicaid Medically Needy program. The program is
also referred to as the “spenddown” program.
Not all Medicaid programs allow spenddown.
qualify for Medicaid, the person agrees to “spend
down” his or her monthly income to the Medicaid income
standard. The person has a choice of how to pay the amount
above the Medicaid income limit. The person may choose to
either pay “excess” monthly income to the state
or to pay a medical provider for one or more medical bills.
The client signs a Medicaid form that states the amount
owed. Then the medical provider is notified of the patient’s
agreement to pay medical bills.
also, Utah Medicaid Provider
Manual, SECTION 1, Chapter 6 - 8, Exceptions to Prohibition
on Billing Patients, item 2.