Page 26

SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP • For a natural/adoptive parent caregiver who has been excluded or is not eligible to receive assistance (e.g., SSI recipient, non-assisted stepparent, non-qualified non-citizen). • For dependent care reimbursed through E&T or from the Childcare Development Block Grant (CCDBG) or other sources. • When an individual fails to accept suitable employment offered through E&T NEON. 660.3 Excess Medical Deductions Allow medical expenses in excess of $35 per household to individuals who meet the definition of elderly or disabled in manual section B-400. If the individual has been or will be reimbursed for the medical expense, allow only the non-reimbursed amount. DO NOT manually deduct $35 from total medical expenses; this is automatically done after the expenses are entered in the system. Allow only the medical expenses reported and verified by the household. NOTE: Individuals considered disabled because they receive Interim Assistance (IA) and MAABD client’s customers who do not receive SSI or Social Security Disability, are identified on the DISA screen in the system as disabled. This ensures these households receive special budgeting. 660.3.1 Allowable Medical Expenses Allow the following medical expenses: 1. Medical and dental care including psychotherapy and rehabilitation provided by a licensed practitioner or other qualified health professional. 2. Hospitalization, outpatient treatment, nursing care, and nursing home care provided by a facility recognized by the state. This includes payments made by the household for an individual who was a household member immediately prior to entering a hospital or nursing home. 3. Payments for health or hospital insurance policies. The cost of policies that do not specifically cover medical costs (such as income maintenance or lump sums for death or dismemberment) are not allowable. 4. Medicare premiums and any cost-sharing expenses incurred by Medicaid recipients, including patient liability. This includes the premium and co-payments for Medicare Part A (Hospital), Part B (all other covered services) and Medicare Part D Prescription Drug Plans. A-660.2 BUDGETING Dependent Care Deduction Division of Social Services Eligibility and Payments Manual 11 Aug 25 MTL 10/25