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SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP SNAP The household may have their medical expenses averaged if the expenses are anticipated to fluctuate, occur less often than monthly, or there is an established history of monthly medical expenses. The case worker should use 60-90 days (or up to three months) to obtain an average of expenses the client customer will pay. This should result in the most accurate estimate. However, the method used in determining an ongoing medical expense should always provide an expense deduction which is most beneficial to the client customer. The average cost must be adjusted if the household reports a change in medical expenses. Allow a deduction in the current certification period even if the expense is reported in an untimely manner. The expense is averaged over the remaining certification period. 660.3.3 One-Time Expense If the household reports and provides timely verification of a one-time expense, but it is too late to budget it in the current certification period: • Deduct it in the first month of the next certification period, or • Average it over the next certification period. Do not allow a one-time medical deduction in the next certification period for an expense verified in an untimely manner. 660.3.4 Verification of Medical Deductions Verify medical bills and reimbursements at initial certification and recertification. Note: Households are not required to report a change in medical expenses during the certification period. If at the time of certification, the household reports an anticipated medical expense and is unable to provide verification, advise them the expense will be allowed ONLY when verification is provided. When a medical expense change is reported during the certification period by a household member or the authorized representative follow procedures in manual section B-600 for both increases and decreases in benefits source other than a household member or the authorized representative act on the change if verified at the time of receipt and the change can be made without contacting the household for additional information or verification. Note: If the change requires contact with the household, do not act on it until recertification. 660.4 Child Support Deductions Deduct child support payments that a household member: • is legally obligated to pay, and • actually pays to or for an individual outside the household. A-660.3.2 BUDGETING Ongoing Medical Expenses Division of Social Services Eligibility and Payments Manual 11 Aug 25 MTL 10/25