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MS 5430

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Volume 2 - Supplemental Nutrition Assistance Program (SNAP) MS 5430 - R. 6/1/19 – OMTL - 548 Allowable Medical Deductions

The following are allowable medical expenses:

A. Medical and dental care including psychotherapy and rehabilitation services provided by a licensed practitioner authorized by State law or other qualified health professional;

B. Hospitalization or out-patient treatment, nursing care and nursing home care including payments by the household for an individual who was a household member immediately prior to entering a hospital or nursing home;

C. Prescription drugs prescribed by a licensed practitioner and other over-the- counter medication, including insulin, approved by a licensed practitioner or other qualified health professional, and the 0.25 cent revenue tax pharmacies charge per prescription.

D. Medical supplies, sick-room equipment including rental or other prescribed equipment and the cost of repairs necessary to keep the equipment in working condition. Authorization by a licensed practitioner or other qualified health professional is sufficient verification;

E. Health and hospitalization insurance policy premiums (without surcharges), for the elderly or disabled person. Medicare premiums paid by the eligible household related to coverage under Title XVIII of the Social Security Act. Supplemental Medical Insurance (SMI) premiums paid by the Medicaid Program, including those for Qualified Medicare Beneficiaries (QMB), Qualified Disabled Working Individuals (QDWI), or Specified Low-Income Medicare Beneficiaries (SLMB) eligible individuals, are not an allowable deduction.

F. Cancer insurance policy premiums (without surcharges) for cancer policies that relate to health and hospitalization. Cancer policies that pay the person money because they have been diagnosed with cancer are not an allowable deduction.

G. Any cost-sharing or spend down expenses incurred by Medicaid recipients. For spend down expenses, review the expense to determine if the expense was previously used as a deduction for SNAP benefits;

H. Dentures, hearing aids and prosthetics;

I. The cost of securing and maintaining "service animals," specifically service dogs or miniature horses trained to do work or perform tasks for persons with disabilities, including the cost of food and veterinary bills. Before allowing the medical deduction, verification that the animal is certified as a “service animal” and trained to assist with medical needs must be provided;

J. Eyeglasses and contact lenses prescribed by a physician skilled in eye disease or by an optometrist;