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ESA SNAP Policy Manual 44 5.3.1 Verification of Medical Expenses Households with members who are 60 years old or older or who meet the SNAP criteria for being disabled (refer to Table 25.1.a, Glossary of Terms, for SNAP’s definition of disabled) and have allowable out-of-pocket medical expenses that total $35 or more each month can receive a medical expense deduction. At initial application, ESA must verify all medical expenses that result in a deduction. Verification of whether a medical expense is allowable should only be conducted if the expense is questionable. At recertification or when a change is reported, ESA must verify the expense only if it results in a deduction and meets one of the following criteria:  The expense is new.  The total recurring amount of the medical expenses has changed by more than $25 monthly.  The information provided is incomplete, inaccurate, inconsistent or outdated. ESA reverifies age, disability or whether a medical expense can be allowed as an income deduction only if it is questionable. Examples of acceptable verification include the following:  Bills from providers of health insurance, services and products  Receipts for prescriptions and medically necessary medication  Statements from providers  Health insurance policies For more information, see Section 12.6, Medical Deduction. 5.3.2 Verification of Dependent Care Expenses For households claiming a dependent care deduction, ESA must verify dependent care expenses billed by the person or service providing the care at initial application. If the household reports a change in the amount of dependent care expenses after initial application, ESA must verify the expense before continuing the deduction. The provider cannot be a member of the SNAP household requesting the deduction but can be living at the same address. Allowable expenses include the following:  The costs of care given by an individual care provider or care facility  Transportation costs to and from the care facility Return