Question: Will the availability of the $600 credit or discount prices prevent or delay an individual's eligibility for Medicaid under a "spenddown?"

Answer : No. Neither the $600 credit nor the discount prices will have a negative impact on the Medicaid eligibility process. The discount and any portion of the $600 credit used for precription drugs will be treated as incurred medical expenses for purposes of Medicaid spenddown, and there will be no delay in the onset of Medicaid eligibility. CMS will issue guidance on how the Medicaid State agencies will calculate the applicant's level of drug spending to apply to "spenddown."

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