Medicaid Spend Downs and How to Pay Them
MoHealthNet for Disabled (Medicaid) Spend Downs and How to Pay Them
Medicaid applies Spend Downs to clients who earn above the income level to qualify for coverage. Every month, clients with a Spend Down must pay their Spend Down amount, before they can receive Medicaid services.
If you pay your Spend Down by the first day of the month, you will have continuous coverage for that month. If the Spend Down is not paid, your Medicaid case remains open, but you won’t have coverage for that month.
There are 3 ways to pay your Spend Down:
Automatic Withdrawal
This option allows for monthly payments to be directly withdrawn from your bank account on the 10th of each month.
Click here for the Spend Down Automatic Withdrawal Form
Complete the form, attach a voided check and mail to:
MO HealthNet Division
FORU 2nd Floor
PO Box 1116
Jefferson City, MO 65102-6500
Online Payment
Visit mymohealthportal.com to create an account and manage your coverage.
You can pay your Spend Down using a credit card or electronic check.
Payment by Mail
Send a check or money order (payable to MO HealthNet Division) along with the invoice stub for the month you are paying.
If you don’t have the correct invoice stub, write the month and your case number on the payment.
Mail your payment to:
MO HealthNet Division
Premium Collections Unit
P.O. Box 808001
Kansas City, MO 64180-8001
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St. Louis Headquarters
St. Louis Office
1924 Marconi Ave,
St. Louis, MO 63110, USA
(314) 207-3986
Cooperative Home Care Service Locations
Cooperative Home Care proudly services:
Counties: St. Louis County, Franklin County, Jefferson County, St. Clair County, St. Charles County, Lincoln County, Warren County.
Cities: St. Louis, Greater St. Louis, East St Louis, Clayton, Chesterfield, Town and Country, Brentwood, Florissant, Glendale, Kirkwood, Rock Hill, Creve Coeur, Swansea, Granite City, Edwardsville, Glen Carbon, O'Fallon, Maryville, Alorton, and Lebanon.
Additional Office Locations
Jefferson County Office
1006 N. Truman Blvd. #A
Crystal City, MO 63019
636-937-9449
St. Charles County Office
Crossroads Business Center
801 S. Woodlawn Avenue, Suite 21
O’Fallon, MO 63366
636-441-7753
Franklin County Office
104 S. McKinley Avenue, Suite D
Union, MO 63084
636-629-5313
