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SNAP CERTIFICATION MANUAL – SECTION 6000 6521 Factor One: How Often is the Expense Incurred?

6500 Medical Deduction • Households must attest at each re-certification and subsequent case action that they still have medical expenses of more than thirty-five dollars ($35.00) per month. An attestation is a verbal statement, written statement, or appropriate response to a question supplied on a form. No further verification is required. • Previously unreported medical expenses reported after initial application must be verified. Verification of these previously unreported medical expenses must show that the household incurred a medical expense of more than thirty-five dollars ($35.00) per month. Actual Medical Deduction For households choosing actual medical expenses, the eligibility worker should obtain the best estimate from the household at certification and subsequent case actions to anticipate medical expenses based on the best information available. The household is under no obligation to report changes in medical expenses but is allowed to do so. The worker will act on any reported changes in medical expenses. The worker must consider several factors when anticipating medical expenses: 1. How often is the expense incurred? See SNAP 6521. 2. Will the expense be reimbursed? See SNAP 6522. 3. Is the expense past due? See SNAP 6523.

6521 Factor One: How Often is the Expense Incurred? SNAP Manual 01/01/2021

6521.1 Expenses Incurred Each Month SNAP Manual 01/01/2021 Monthly rental payments on medical equipment, visits to a physician made at least once per month, and Medicare premiums are all types of monthly medical expenses. Any medical expense the household expects to incur at least once per month is classified as a monthly medical expense.