Spend down requirement in Medicaid The requirement to "spend down" in order to receive Medicaid for nursing home or other medical care means that,in many states,individuals must:

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The spend down requirement in Medicaid means that individuals must use up their assets and income to pay for their medical bills before they can be eligible for coverage. This is designed to ensure that Medicaid is only available to those who truly need it and do not have the financial means to pay for their medical care on their own. It is not necessary to give away assets or pay physicians a guaranteed amount, and while consulting with a financial planner may be helpful, it is not required by the spend down requirement.

Spend Down Requirement in Medicaid the Requirement to "Spend Down