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Medical Bill Allowable for SNAP Expense household members. Only the prorated amount for the eligible member is considered a deduction. Dentures, hearing aids and prosthetics. Yes Costs of attendant, homemaker, home health aide, childcare or housekeeper services necessary because of age, infirmity or illness. Yes, if the service is provided by someone outside the SNAP household. If the household provides the majority of the attendant’s meals, also deduct an amount equal to the one-person benefit allotment: amount paid to individual PLUS an amount equal to the one-person benefit allotment = the total allowable deduction. If the attendant care costs qualify under both the medical and dependent care deduction, the costs may be deducted as a medical expense or a dependent care expense, but not both. Medicaid co-payments Yes, generally the best estimate for co-payments is to anticipate for initial months and average for ongoing eligibility. Cancer or other specialized insurance policy costs. Yes, if the policy itself states the monies are intended to be used to cover medical expenses. If the policy pays personal debt (car loan, mortgage etc.), the premium is not an allowable expense. Prescription for home meal delivery service. No, generally payable with SNAP benefits. Loan payments for medical debt. Yes, including medical expenses charged to a credit card. The interest or late fees are not allowed as part of the deduction. Prescription to buy exercise equipment or get exercise at a health club. No, club membership or purchase of equipment is not allowed. The services of a medical provider such as a physical therapist would be allowed. Acupuncture Yes Chiropractor Yes Reasonable costs of transportation and lodging to obtain medical treatment or services; including, the cost of a trip to a pharmacy or other location to fill a prescription for medicine, dentures, a hearing aid, eyeglasses, etc. Yes, all costs must be verified and not exceed current lodging reimbursement rates for state employees and Medicaid travel costs for transportation. Meals are not an allowable expense.

Reminder: expenses being reimbursed are not allowed as a deduction. If Medicaid travel will reimburse the expense, it cannot be allowed for SNAP. Prescription eyeglasses or contacts Yes, if prescribed by an ophthalmologist or by an optometrist. Securing and maintaining 'service animals' such as seeing eye dogs, hearing guide dogs and monkeys specially trained to provide a service to the disabled. Yes, in addition to the initial purchase of the animal, animal food and veterinary bills are also allowed as a deduction. Hospitalization or outpatient treatment, nursing care, and nursing home care. Yes, including payments by the household for an individual who was a household member immediately prior to entering a hospital or nursing home. Only medical costs are allowed. The cost of room and board is not allowed. Current cash option payments made to meet a spend-down obligation of Medicaid recipients Yes, if the household anticipates paying the cash option. Medic Alert System, Life Line or other home monitoring system. Yes, as follows: The basic fee for the telephone is a utility expense; and,