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• Unpaid medical bills provided by a licensed medical provider that were incurred prior to Medicaid coverage • Dental services not covered by Medicaid or other third-party insurance, such as dentures • Audiology services and hearing aids if ordered in writing by a physician Unallowable expenses include: • Emergency response systems • Special diets and nutritional supplements • Medical bills that have been paid • Assisted Living services, including room and board • Ancillary charges which are additional fees for services that support a patient’s care beyond room and board. Some examples of these charges include items such as Kleenex and gloves. • Non-medical home care such as companions, attendants, and homemakers which have not been deemed medically necessary under the waiver care plan

3455.15.10.05 SHELTERED WORKSHOP EARNINGS/POST ELIGIBILITY (MED 1) The policies in this section apply to the MA A, MA B, MA D, MADW, and MADI categories of assistance. Sheltered workshop earnings and earnings which are part of a habilitation plan are included as earned income. In the eligibility step, sheltered workshop earnings and earnings which are part of a habilitation plan are budgeted the same as any other earned income from employment. The standard earned income disregard is applicable. In the post-eligibility step, the net income after allowing employment expenses is divided by two to determine the net countable income.17 Employment expenses are as follows: • $16 employment incentive • State, local, and federal income taxes, including FICA. The amount to be deducted is based on monthly income by using the appropriate state and federal tax charts. The tax deduction is to be determined by using the total number of exemptions to which the applicant/recipient is legally entitled, whether they are claimed for withholding purposes. • Transportation expenses: A deduction is allowed for expenses directly related to the earning of income. The actual documented expense is allowed for a transportation carrier; $.15 per mile is allowed if the individual drives his own automobile to and from work.