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3.6.2.1 CSHCN Services Program and MNP Spend Down Processing
The CSHCN Services Program can assist in the submission of medical bills to apply for Medicaid coverage through the spend down process. TMHP-MNC accepts paid or unpaid medical bills from the CSHCN Services Program for application toward the spend down amount regardless of the date of service. This process enables the TMHP-MNC to expedite the culmination of the case and inform DSHS when the spend down is met.
When the spend down is met and the client is certified as Medicaid-eligible, the CSHCN Services Program may consider whether any of the services used to meet the spend down amount (client liability) may be considered for CSHCN Services Program health-care benefits coverage.
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