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2. Average the expense over the remaining months until recertification. NOTE: Households certified for 24 months that report a one-time medical expense during the first 12 months have the following options: a. Deducting the expense for one month. b. Averaging it over the remainder of the first 12 months of the certification period; or c. Averaging the expense over the remaining months in the certification period. Table of Allowable Medical Expenses: Medical Bill Allowable for SNAP Expense Medical Marijuana No. CBD Oils and CBD products Possibly. The following criteria must be met: 1. The cannabis product is an FDA-approved drug prescribed by a licensed healthcare provider. As of 03/01/2022, the only FDA approved cannabis-derived drug is Epidiolex (Cannabidiol), which is a treatment for two rare types of Epilepsy.

2. State agency allows the cannabis product (CBD Oil) as a medical expense if the household presents verification that a State Licensed practitioner or qualified health professional has: a. Approved or prescribed the product b. And certified that the product contains THC in an amount that does not exceed 0.3 percent on a dry weight basis. Both a. and b. must be verified and case noted to be allowed as a Medical Expense.

Past due obligations No Special diets No. Items that can be purchased with SNAP benefits cannot be allowed as a medical expense. There is no exception for tube feeding. Dental and medical care including psychotherapy and rehabilitation services. Yes, if provided by a licensed practitioner authorized by State law or other qualified health professional. Costs reimbursable or paid by a third party. No. Prescriptions, over-the-counter drugs, medical supplies, sick room equipment (including rental) or other equipment. Yes. Each must be prescribed OR approved by a State-licensed healthcare practitioner or professional. Prescription or any approval document is acceptable verification. Vitamins and supplements cannot be bought with SNAP, so if prescribed or approved by a licensed healthcare practitioner, they could be allowable expenses. In general, eligibility staff do not evaluate whether what is prescribed is appropriate for the individual’s medical condition, only that it is prescribed or approved by a State-licensed practitioner or qualified healthcare professional. Postage for mail-prescription drugs. Yes Medicare premiums Yes, unless paid by a third party (QMB, SLMB or QI). The month after QMB approval the Medicare premium expense cannot be given. The month of SLMB or QI approval the expense is not allowed. Health, hospitalization, and ambulance insurance policy premiums. Yes, only the portion of the premium assigned to the elderly or disabled household member. If the policy does not state the amount of the premium for each insured individual, the premium is prorated among the insured