Medicaid Spend-down


People with Intellectual and/or Developmental Disabilities on Medicaid spend-down do not have enough Protected Income Level (PIL) to live on and qualify for Medicaid.

PIL is the amount of money you can keep and still qualify for Medicaid benefits. The amount you can keep varies in different parts of the state and can be a low as $341 per month.

What is Medicaid spend-down?

Medicaid spend-down is the amount of income that needs to be spent on medical expenses to reach a PIL in order to still have Medicaid benefits.

For example: If your income is $1,000, you will need to spend $659 on medical expenses to keep your Medicaid benefits. The $341 left is your PIL and it is what you have to live on for that month. 


Contact Information:


Brett Williams





Jan. 2017

Meets Dates:

No upcoming meetings scheduled. 

 Important Information:

*You can now enroll in the Healthy Michigan Plan.  To register click here or visit:

For more information on the plan click on the Healthy Michigan Handbook

*Below is a link to a website for Michigan Community Dental Clinics (MCDC).  This organization has a number of dental clinics throughout the state and it accepts Medicaid.  Visit the website to see what services are available and where clinics are located. 
You can phone the MCDC administrative office at 231.547.7638.



 Health Insurance Marketplace Educational Tools 

The new tools will help Americans understand their choices and select the coverage that best suits their needs.  Open enrollment in the new Health Insurance Marketplace began October 1st.

Disability and Abuse Project

What Consumer Assisters Need to Know- about coverage; from the Michigan Primary Care Association

Smart Choice for Health Insurance - Research shows that almost all consumers are confused about how to purchase and use health insurance. Many people are not comfortable with the terms and rules of health insurance plans. Many consumers don’t have confidence in their decisions. With the passage of the Affordable Care Act and the recent opening of statewide health insurance marketplaces in Michigan and elsewhere, a bright light has been shined on important issues involving health insurance. MSU Extension wants to help consumers take control of their personal and family financial and health needs with the Smart Choice for Health Insurance curriculum.