10109 - (F- (02/14)) form sent to providers by the member's certifying agency. The provider's reimbursement is then reduced by

When the individual meets the spenddown amount, the certifying agency notifies ForwardHealth and the provider of the last - When the provider submits the claim, the spenddown amount will automatically be deducted from the provider's reimbursement for the claim. The spenddown amount is indicated in the Member's Share element on the Medicaid Remaining Deductible Update (F-10109 (02/14)) form sent to providers by the member's certifying agency. The provider's reimbursement is then reduced by the amount of the member's obligation.

• Confirm benefit details
• Submit clinical notes if requested by the plan

• Confirm the current plan policy before submission.
• Use the insurer authorization workflow for this listed code.