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SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP Medicaid Pending If a Medicaid eligibility decision is pending, allow the Medicare premium as an expense until a Medicaid decision is made. If Medicaid assistance is approved, determine the effective date of the Buy-In accretion and remove the Medicare premium expense, allowing for adverse. Do not wait for the Buy-In to actually occur since the individual will be reimbursed any premiums paid as of the Medicaid eligibility effective date. Refer to the Medical Program Manual for Buy-In policy. 5. Dentures, hearing aids, and prosthesis (includes prescribed footwear). 6. Cost of securing and maintaining a service dog for a disabled household member. This includes the cost of dog food and veterinarian bills. 7. Prescription eyeglasses. 8. Reasonable cost of transportation (up to current state rate) (see State Administration Manual) and lodging to obtain medical services. 9. Cost of maintaining an attendant, home health aide, childcare provider or housekeeper necessary because of age or illness. In addition to wages, deduct an amount equal to a one-person SNAP allotment if the applicant individual furnishes a majority of the attendant’s meals. If the applicant individual has attendant care costs that could qualify under both medical and dependent care deductions, consider the cost a medical expense. (This includes patient liability for home-based waiver Medicaid recipients). 10. Prescribed drugs, medical equipment or supplies, or over-the-counter medication, including insulin, if approved by a qualified health professional. Allow postage and handling costs associated with mail- order prescription drugs even if they are billed separately (see below for budgeting RX expenses). NOTE: Costs for medical marijuana, even when prescribed by a medical professional, is not an allowable expense as marijuana is a substance considered illegal under Federal Law. Medical expenses must be reported and verified at initial application and recertification. Any expenses reported on an initial application are considered timely and the case manager must evaluate if the expense is a one-time expense (incurred or paid) or an ongoing monthly expense (incurred or paid). Any incurred medical expense reported on a new application would be considered timely. Once a household is approved for benefits, they are not required to report a change in medical expenses until the next recertification application. Any expense incurred after approval and reported on the next recertification is considered reported timely. 660.3.2 Ongoing Medical Expenses Determine the ongoing monthly medical expenses using the most current medical expense information available to project expenses to be paid over the certification period or remaining months of the certification period. The service or expense does not have to be recent to allow the expense. If an old expense is claimed, it may be budgeted for the current certification period as long as it was not previously reported or the expense allowed on a previous certification. A-660.3.1 BUDGETING Division of Social Services Eligibility and Payments Manual 11 Aug 25 MTL 10/25 Allowable Medical Expenses