3-003.01D2 Allowable Medical Expenses
475 NAC 3-003.01D2
Any nonreimbursable costs over the monthly amount for allowable items are deducted from the household’s income if the cost was incurred by an eligible household member. These items are:
1. Medical care including psychotherapy and rehabilitative costs provided by a licensed medical practitioner;
2. Dental care provided by a licensed medical practitioner;
3. Hospitalization or nursing home care which is paid on behalf of a person who was a household member immediately before entering the hospital or nursing home;
4. Health and hospitalization insurance premiums which cover medical costs;
5. Ambulance insurance premiums;
6. Medicare premiums and any cost sharing (copay) or spenddown expenses incurred by a Medicaid recipient;
When the client meets his/her monthly
Share of Cost on an ongoing basis, the Share of Cost is an allowable medical
deduction for food stamp benefits.
Example: A client who has high monthly medical expenses and uses
his/her share of cost to pay his/her personal care aide.
7. Animals providing service to disabled persons such as seeing eye dogs, their veterinary fees, food, and other maintenance costs;
8. Prosthetic devices;
9. Dentures;
10. Hearing aids;
11. Transportation to obtain medical treatment, services, or prescriptions (to be deductible, costs for this transportation must be reasonable);
12. The cost of a medic-alert system (the additional expense above the basic telephone rate);
13. The principal (but not the interest) on a loan to cover medical expenses;
14. Corrective footwear, wheelchairs, and other items prescribed by a licensed medical practitioner;
15. Drugs (including over-the-counter) prescribed by a licensed medical practitioner;
16. Eyeglasses prescribed by a physician skilled in eye diseases or by an optometrist;
17. Attendant, housekeeper, or home health aide if the care is needed because of age, infirmity, or illness. When the household supplies a majority (51 percent) of an attendant’s meals, the maximum allowable one-person allotment is deducted in addition to the attendant’s wages.
18. Adult day care expenses for the elderly or disabled;
19. Telephone amplifiers, warning signals for handicapped, and costs of typewriter equipment for the deaf, etc.; and
20. Annual enrollment fee for Medicare prescription drug card.
Note: If a vendor payment for any allowable medical expense is excluded as income, this expense must not be allowed as a deduction.
Information on vendor payments is located at 475 NAC 3-002.03A2a 'Excluded Vendor Payments'.
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