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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

3 of 22 10. Cost for an attendant, home health aide, child care provider or housekeeper necessary for the care of an elderly/disabled household member. This includes costs incurred due to illness or to obtain medical treatment for the elderly/disabled household member. In addition to the actual payment, deduct an amount equal to a one-person SNAP allotment if the household furnishes a majority of the caretaker’s meals. Use the allotment that is in effect at the time of the initial certification. If the allotment amount changes, it must be updated at the next redetermination or case activity, whichever is sooner. If the client reports caretaker costs that could qualify under both medical and dependent care deductions, the household must be allowed a deduction of either medical or dependent care expense, but not both.

11. Cost for equipment added to a vehicle or home to accommodate the needs of an elderly/disabled household member. This includes monthly telephone fees for amplifiers, warning or Medic Alert Systems, and the cost of equipment connected to the telephone for persons with hearing impairments. The basic fee for the telephone is considered a utility expense.

NOTE: Allow the portion of a medical expense that is not reimbursable only at the time the reimbursement is received or can otherwise be verified.

B-653-2-SNAP - PO Disallowed Medical Expenses

Medical deductions are not allowed for:

• the cost of special diets,

• the cost of medical marijuana,

• an expense paid by a non-household member directly to the provider (vendor payment),

• the portion of an expense which has been or will be reimbursed,

• expenses for services, such as nursing care, provided by a member of the same SNAP household,

• expenses paid with in-kind benefits rather than money payments, such as giving clothing to an attendant,

• one-time expenses paid prior to initial certification or in a prior certification period (Refer to B- 653-SNAP-PR for additional information.),

• recurring expenses incurred or paid in a past month which were not timely reported,

• expenses verified by the provider to be delinquent, and