(iv) Were not forgiven by the provider.
(b) The incurred medical expenses shall be considered on a month-by-month basis beginning with the earliest month in the period under consideration and shall be deducted from excess available income in the following order:
(i) Medicare and other health insurance premiums, deductibles, or co-insurance charges;
(ii) Expenses incurred for necessary medical care or remedial services that are recognized under State law but are not covered under the State Plan;
(iii) Expenses incurred for necessary medical care or remedial services that are covered under the State Plan.
(c) The medical expenses used to establish retroactive spend-down eligibility may not be: (i) Reimbursed by the Medical Assistance Program; (ii) Used for any subsequent eligibility determination; or
(iii) Incurred before the period for which retroactive eligibility is requested.
(d) Retroactive spend-down eligibility is established on the day the incurred medical expenses considered under §C(8)(b) of this regulation equal or exceed the excess available income. Certification is established under Regulation .11D of this chapter.
