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FOOD AND NUTRITION SERVICES CERTIFICATION INCOME AND RESOURCES FNS 340 DEDUCTIONS Section 340 Change #02-2026 August 4, 2026 8. Senior citizen discounts given by pharmacies. Many pharmacies give a senior citizen discount which is often not reflected in the customer’s record of purchase. The discount is not included in the medical expense deduction; and 9. Any expenses “written off” by the provider. NOTE: If expenses are referred to a collection agency, they are not considered to be written off. D. Verification 1. Verify all medical expenses that the FNS unit is responsible for paying at initial application. 2. Medical expenses do not always have to be verified at recertification. Review the medical expense information provided by the household. Ask the client if the expenses previously reported have changed. Verify the medical expenses if: a. The type or source of expense has changed. For example, the client purchases prescriptions at a different pharmacy or the doctor changed the client’s prescriptions. b. The total of medical expenses has changed by more than $25. If the expenses have changed by less than $25.00, do not verify unless c. below applies. c. The information/verification provided is incomplete, inaccurate, inconsistent, or outdated. 3. If the FNS unit reports an anticipated change in medical expenses during the application or recertification process, flag the case to add the expense if already verified. If not already verified, flag the case to request verification of the anticipated change when it is expected to occur. Send the DSS-8650. Refer to FNS 515 SR Changes during CP to determine the appropriate reaction to a change in medical expenses. 4. If a specified person reports that they cannot afford to purchase or obtain medical services, (i.e., prescriptions, doctor visit, etc.), the expense cannot be anticipated nor allowed as a deduction. 5. Give the FNS unit at least ten calendar days to provide verification. 6. Give the FNS unit a DSS-8650. 7. Offer assistance to the FNS unit in obtaining information. 8. Resolve any discrepancies prior to allowing the deduction.