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b. Get an average of the IRWE the a/b paid. Convert the IRWE to a monthly amount and subtract from a/b’s total income. For one-time expense refer to VIII. for unexpected expenses in rental income. See IX. above for earned income deductions.

Example: A/B applies for Medicaid in July. He began working in January. From January through June, the a/b has paid a total of $840 for transportation to and from work. The amount of IRWE is computed by dividing the total amount by the number of months covered ($840.00 divided by 6 = $140.00 per month.) $140.00 is subtracted from a/b’s gross monthly earnings.

5. The following items/services can be used for IRWE. The items/services that can be excluded are not limited to this list.

a. Attendant care services.

b. Drugs and medical services not covered by Medicaid which are essential to enable the individual to work.

c. Expendable medical supplies not covered by Medicaid such as bandages, catheters, face mask.

d. Dog guide.

e. Medical devices such as braces, inhalers, pacemakers, respirators, wheelchair and the repair of that item.

f. Physical Therapy.

g. Prosthetic devices required to work and the maintenance and repair of these devices.

h. Structural modifications to a/b’s home to create a work space or to allow the a/b to get to and from work.

i. Training such as braille, cane travel, use of special equipment. Training does not include general education courses.

j. Other work-related equipment/services such as one-handed typewriters, special tools, typing aids.

k. Transportation to and from work.

l. Vehicle modification.