As of April 2009, the Ohio Medicaid Spend Down program allows citizens of the state who meet all Medicaid requirements, with the exception of income limits, to deduct medical expenses from their income in order to meet Medicaid eligibility. This program is for citizens who are elderly, blind or disabled.
Those wishing to participate in the program are qualified on a monthly basis. They must submit records of medical bills and expenses, such as prescriptions that meet or exceed their spend down amount, which is the amount of money that would reduce their income enough to qualify for Medicaid. Citizens eligible for the Spend Down program may also elect to pay their spend down amount to Ohio Medicaid on a monthly basis.