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b. Does the alleged expense meet the definition of IRWE (i.e., is it determined to be attendant care services, durable medical equipment, prostheses, other equipment, similar items and services, or routine drugs or routine medical services necessary for the control of the disabling condition)?
c. Does the expense pertain to the impaired individual (not to another person)?
Ask the following questions for the proof of payment:
a. Did the payment pertain to an item that was used or service that was used in the month in which the individual was working?
b. Was the expense paid by the impaired individual’s funds?
4. Does the impairment(s) which reportedly requires the individual to use a particular item or service, correlate with the established medical basis of disability? a. To verify the need of the item/service, request that the a/b provide a statement for the need of the item/service for himself. b. To verify payment for the item/service, request that the a/b provide copies of cancelled check(s) or paid receipts. Exclude the basic cost of the item/service as IRWE. Refer to IX. for instructions on subtracting earned income exclusion. 1) If the cost is unknown to the agency or it appears to be unreasonable, contact a provider of that item/service.
2) Ask the provider for basic cost of the item/service. Use basic cost amount. 3) If the a/b provides receipts for recurring items/services paid for one week, convert that amount to a monthly amount and allow the monthly amount.
4. In the base period for applications and redeterminations, use IRWE expenses paid for the last 12 months to determine the IRWE deduction.
a. At application and recertification, verify the IRWE expenses the a/b paid for in the past 12 months or for the number of months the a/b paid the expense if less than 12 months.