Medical Payments 510-05-85-07

(Revised 7/1/14 ML #3406)

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(N.D.A.C. Section 75-02-02.1-34(6))

Payments from any source, which are or may be received as a result of a medical expense or increased medical need, are not income, but are considered to be medical payments which must be applied towards the recipient's medical costs. These payments include health or long-term care insurance payments, Veteran's Administration aid and attendance, Veteran's Administration reimbursements for unusual medical expenses, and Veteran's Administration homebound benefits intended for medical expenses. Medical payments from the Veteran's Administration are based on the individual’s level of care and may be received regardless of the individual’s living arrangement. This section does not apply to the Medicare Savings Programs.

Health or long-term care insurance payments must be considered as payments received in the months the benefit was intended to cover and must be applied to medical expenses incurred in those months;

Veteran's Administration aid and attendance benefits must be considered as payments received in the months the benefit was intended to cover and must be applied to the medical expense incurred in those months.

Veteran's Administration reimbursements for unusual medical expenses must be considered as payments received in the months in which the increased medical expense occurred and must be applied to the medical expense incurred in those months.

Veteran's Administration homebound benefits intended for medical expenses must be considered as payments received in the months the benefit was intended to cover and must be applied to the medical expense incurred in those months. This does not apply to homebound benefits which are not intended for medical expenses.