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Low Income Home Energy Assistance Program Division 10 Service 415 Program 415 Chapters 05 - 65 North Dakota Department of Health and Human Services

Calculating Medical Expenses Allowable medical expenses are annualized as follows: • Non-Fluctuating recurring medical expenses are annualized by using the total in month of application multiplied by 12. • Fluctuating recurring medical expenses are averaged from a prior three-month period if that is indicative of what the household anticipates to have as ongoing medical expenses. Multiply the average monthly amount by 12 to arrive at an annual expense.

If a recurring medical expense does not have a three-month history (ex: new prescription) but the worker can establish what the household anticipates as a monthly ongoing expense, the expense can be annualized (x12).

• For non-recurring medical expenses only the actual amounts paid between the previous June 1 and the following May 31 are allowed as an expense.