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1087 Chapter 7:Worker guides • Section 2: SNAP worker guides (07/2026) There is no overissuance for the prior certification period because Myrtle is not required to report changes (SNAP-I.2) in medical expenses. Medical deduction recalculation: Although Myrtle is not required to report a change in her medical expenses, the worker must recalculate the medical deduction if changes up or down are reported and verified during the certification period for cases in CRS. For cases in SRS, changes must be verified when the reported change will increase benefits. Medical expenses reported monthly for companion medical case Facts: Martha is eligible for SNAP from January through December. She receives $1045 a month Social Security benefits. Her $88.50 Medicare premium is picked up by the state and her monthly Medigap plan premium is $124.80 a month. In addition she has other medical costs -- over-the-counter (OTC) costs for prescribed aspirin, vitamins, and Depends of $90.00 a month. She is receiving in-home services.

For the purpose of the SNAP medical deduction her medical program liability is $225.50 $1045 SSB - 604.70 standard - $124.80 insurance costs - other costs of $90.00 OTC). The individual is required to report the other medical costs on a month by month basis for the Medical program. However, the costs are anticipated and averaged for the year for the SNAP program.

The medical deduction is calculated as:

$124.80 insurance + 90.00 other costs + $225.50 liability = $440.30 medical deduction per month of the certification period. Situation: Martha is reporting other medical costs each month for her medical case. The other medical costs change monthly and thereby change her liability. The costs and liability were anticipated at certification and there are no new costs and therefore, no changes to the medical deduction. However, during April she reports and verifies that her March costs increased because she had a one-time over the counter cost of $20. Because this is a one-time cost, $20 is averaged out over the balance of the certification period (eight months). The expense is included in Martha’s medical deduction for May through December. $20 ÷ 8 = $2.50 + $440.30 = $442.80

In August, Martha reports she purchased glasses that were outside of the two-year cycle and her cost was $250. She has set up a payment plan and will pay $50 a month for five months. The expense of $50 a month is included in Martha’s medical deduction for September through December (four months). The remaining $50 can be allowed for a new certification period in January if the $50 is still due and not in arrears. $50 + $445.30 = $492.80 SNAP reporting systems at-a-glance The SNAP program uses several report systems. The following are the basics about each report system at-a- glance. Select here for Acting on reported changes.