If the caseworker chooses to retain coverage for the affected period, he or she must meet the new Spend Down amount by using existing or submitting new Expense/Pay-In evidence to reduce the new Outstanding Spend Down amount to zero. If it is a past period that is affected, the caseworker must undo the application of all Expense/Pay-In evidence from the beginning of the following Spend Down period onwards, so as Expense/Pay-In evidence is applied correctly from the affected period onwards. The caseworker can view the information in the current Spend Down Details record for the period and apply the evidence for use towards the Spend Down.
Once the outstanding Spend Down amount has been reduced to zero and the caseworker has approved the Spend Down period, the system sets the current Spend Down status for each period to "Approved", sets the Spend Down reason to "Spend Down Met" and adjusts the coverage start date, if necessary. The expenses are updated with the amount used and amount available for use, and when the Spend Down period is the current period, the product delivery case status is set to "Active"; if Spend Down period is a past period, the product delivery case status is not reset.
A communication is issued to the household member, "Spend Down Program Coverage Active", which outlines the Spend Down details for the period, and shows the date Spend Down was met, the coverage period, and the evidence used to meet the Spend Down.