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• Medical supplies and durable medical equipment. • Health and hospitalization insurance policy premiums. Premiums for health and accident policies such as those payable in lump sum settlements for death or dismemberment, or income maintenance policies such as those that continue mortgage or loan payments while the beneficiary is disabled, are not allowed. • The premiums paid for indemnity policies are not allowed since indemnity policies do not limit benefits and the purposes for which benefits can be used. • If the insurance premium includes AG members not eligible for the deduction and the eligible AG member's portion cannot be broken out, prorate the premiums among all insured AG members and allow only the portion for the eligible AG member(s). • Medicare Part A and Medicare Part B premiums which are paid by the individual; For Medicare recipients on Buy-In, the state pays their premiums and, therefore, the premiums are not allowable in the SNAP budget. • Home health care is a medical expense provided by a licensed health care professional. • Dentures, hearing aids, prosthetics, and eyeglasses (including repairs) prescribed by an ophthalmologist or optometrist. • Actual verified cost of transportation necessary to obtain medical care or items that are allowable expenses. If the person has driven their own car, and cannot prove the actual cost, 40 cents per mile is allowed. • The Medicaid co-payment. This is a nominal fee assessed to certain Medicaid recipients for prescription drugs, non-emergency visits to a hospital emergency room, and transportation services. • Services approved for a recipient under one of the Medicaid Home and Community-Based Services (HCBS) waivers, except case management and home- delivered meals. • The M.E.D. Works Premium. • Cost of purchasing/renting an air conditioner and other equipment which are not considered medical supplies or durable medical equipment, but are prescribed by a qualified health care professional; • Costs associated with securing and maintaining any animal specially trained to serve the needs of elderly or disabled persons such as Seeing Eye dogs, hearing guide dogs, and housekeeper monkeys trained to assist quadriplegics. Specific types of training, credentials or certifications are not required, but the animal must be specially trained to perform a function that the elderly or disabled person cannot readily perform on their own; • Lodging expenses spent to obtain medical treatment or services; • Cost of an attendant, homemaker, childcare services, or housekeeper necessary due to age, infirmity, or illness. If the AG furnishes most of the attendant's meals, an additional medical expense is allowed equal to the maximum one person SNAP benefit allotment. • The Medicaid liability paid by the client when they are residing in a Medicaid certified group living arrangement. • Payments made on an old bill that has not been previously counted in the SNAP budget. • Home repairs and remodeling costs to accommodate a disabled person (example-ramps or handrails). • Expenses for an individual who was or would have been an AG member immediately prior to entering the hospital or nursing home. • Special telephone equipment related to medical needs.