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What Is A Medicaid Spend-Down? It allows them to deduct medical expenses from their income, so their income may fall within Medicaid guidelines. Spenddown eligibility is a monthly process. Medicaid Spend Down Exemptions in 2025 Who Qualifies for Medicaid | Asset Protection in Ohio To qualify for Ohio Medicaid, spend-down purchases must be solely for the benefit of the applicant, his/her spouse, or dependent children and ...

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