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Spend Down Got Easier – Now It’s Faster!


The Family Support Division (FSD) has launched automated spend-down processing, enabling participants to have coverage activated in as little as one business day. This expedited processing is available exclusively for charges submitted by providers using the online MO HealthNet Spend Down Provider form.

In March 2025, the Department of Social Services (DSS) announced the online MO HealthNet Spend Down Provider form. By completing the online form, providers verify that the participant has incurred and personally owes payment for services they provided. To review the announcement, refer to Hot Tip: Reporting Incurred Charges for Spend Down Made Easier for Providers and Participants.

With the new expedited processing, once the provider submits the online form, the information is verified, and the system updates overnight. If the charges meet the participant’s spend-down amount, their coverage will be shown as active. The quick turnaround allows participants to access necessary services or pick up prescriptions faster, and providers can begin billing as soon as the day after submitting spend-down charges.

For more information on eligibility and the Spend Down Program for MO HealthNet participants, providers can register for the Eligibility and Spend Down webinar on January 7, 2026, at 9:00 a.m. A representative from FSD will also join us for the webinar to assist with any questions you may have. Register soon, these webinars fill up quickly! 


For future trainings, watch the MO HealthNet Provider Training Calendar. To review the information presented during this webinar, visit the Eligibility and Spend Down training
For additional resources, refer to the Education and Training Resources page or email MHD.Education@dss.mo.gov for more information.