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Division/Section Economic Stability Chapter No./Name 4 – Economic Independence (EI) Part No./Name B – Eligibility Factors Section No./Name B-600-FITAP-SNAP Income Document No./Name B-650-SNAP Deductions Effective Date June 1, 2026

13 of 22 The worker will make a determination on which expense would be more advantageous to the household. The determination must be documented in LITE.

Example: Susie is disabled and has additional medical expenses. She lives in the home with her daughter and her grandchildren. Her daughter works, but due to Susie’s disability, an attendant is required to care for Susie while her daughter works. The cost of the attendant is $100 per month for her services. The expense can be allowed as either a medical or dependent care deduction.

Budgeting Anticipated Medical Expenses

When determining eligibility and benefits, calculate the medical deduction based on anticipated expenses. Use the most recent month's bills as an indicator of anticipated expenses, unless the household is reasonably certain a change will occur.

If a household reports an anticipated medical expense at the time of certification, but is unable to provide the verification at that time, advise the household that the expense will be allowed when the verification is provided during the certification period.

Households may elect to have fluctuating medical expenses averaged if regularly recurring, reasonably anticipated and verified.

Workers must not routinely average bills from past months, but should use these only as indicators of the anticipated expenses.

Exception: Prescribed medical expenses should be averaged as explained in B-653-SNAP-PR.

Budgeting One-Time Medical Expenses

A one-time medical expense may be allowed if:

• it is billed in the current certification period, or

• it was billed prior to initial certification and is unpaid but not delinquent at the time of certification, or

• it was billed in a prior certification period, was not allowed in that certification period, and is unpaid but not delinquent at the time of redetermination, or

• it was billed in the last two months of the prior certification period and was reported but not budgeted in that certification period.