---
title: Medicaid Spend Down Overview
description: "Below is a .pdf covering the Spend Down procedures. You can also click the link below to the Missouri Department of Mental Health to learn more information about Spend Down. [Spend Down Information (external website)](https://dmh.mo.gov/medicaid-eligibility/spend-down) [medicaid_spend_down](https://mosds.org/wp-content/plugins/embedpress/assets/pdf/web/viewer.html?&file=https%3A%2F%2Fmosds.org%2Fwp-content%2Fuploads%2F2025%2F03%2Fmedicaid_spend_down.pdf#key=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) Powered By EmbedPress"
url: "https://mosds.org/docs/medicaid-spend-down-overview/"
updated: "2025-04-17"
category: "Essentials & Startup [Free] / Medicaid Waivers"
---

# Medicaid Spend Down Overview

Below is a .pdf covering the Spend Down procedures. You can also click the link below to the Missouri Department of Mental Health to learn more information about Spend Down.

  [Spend Down Information (external website)](https://dmh.mo.gov/medicaid-eligibility/spend-down)

[medicaid_spend_down](https://mosds.org/wp-content/plugins/embedpress/assets/pdf/web/viewer.html?&file=https%3A%2F%2Fmosds.org%2Fwp-content%2Fuploads%2F2025%2F03%2Fmedicaid_spend_down.pdf#key=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)

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