OakClaim
PR-178Patient ResponsibilityEligibility

PR-178 Denial Code: Spend-down not met

Medicaid spend-down: the patient hasn't yet incurred enough expenses this period to activate coverage — until then, charges are patient responsibility.

Why PR-178 happens

  • Medically-needy Medicaid category with unmet monthly/quarterly spend-down

How to fix a PR-178 denial

  1. 1

    Bill the patient toward spend-down; submit expense documentation to the state as required

  2. 2

    Rebill Medicaid for services after the spend-down was satisfied

How to prevent it

Check spend-down status and remaining amounts during Medicaid verification.

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