If a change results in the claimant's spend down amount increasing, the change is effective with the second month following the month the Advance Notice of Adverse Action (IM-80) expires. The reason for this is DMS will have already been sent the claimant an invoice for the month following the month the IM-80 expires. In some cases the claimant may have already paid-in for the next month.
If a change results in the claimant's spend down amount decreasing, DMS will adjust the amount of the spend down in their system for the month following the month the change is entered in the IMU5 system. The amount on the MPNI will be reduced for that month, but a new invoice will not be mailed. If the claimant pays in the new lower amount DMS will activate coverage for the month. If the claimant pays in the amount on the original invoice, DMS will activate coverage and refund the difference.
If the change should have taken effect earlier than the month following the month it was entered in the IMU5 system and the claimant has paid-in, the county will need to send documentation to the Income Maintenance Policy Unit.
On cases meeting spend down with bills, take the following action after entering the change in IMU5: