475 NAC 2-004.01A2e(1)
If the worker is unable to verify the household member’s eligibility for the medical deduction and expenses, the following procedures apply:
1. If the worker is unable to verify disability within expedited guidelines, the worker must allow the medical deduction for the first issuance. To allow the medical deduction for the second issuance, verification is required;
2. If the household claims medical expenses and no insurance, the worker must allow the client’s estimate of expenses for the first issuance;
3. If the household claims medical expenses and insurance, the worker must ask the household what portion will be reimbursed by insurance and allow the portion of the medical expenses which will not be reimbursed as a deduction for the first issuance; and
4. If the household is unable to provide information on what portion is reimbursable by insurance, no deduction is allowed.
In all cases, verification must be provided before the second issuance of the certification period or the worker must remove the expense from the budget.
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