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254 (07/2026) Chapter 2:Eligibility • Section 5: Financial eligibility
Long-term-care insurance premiums are deductible if the insurance pays for services while an individual is receiving waivered or nursing facility services or is in an intermediate care facility for those experiencing cognitive disabilities. • Medical and dental care, including psychotherapy, rehabilitation services, hospitalization and outpatient treatment • Prescription drugs and medications prescribed by a licensed medical practitioner, as well as medical supplies and equipment, dentures, hearing aids, prostheses and prescribed eyeglasses (Postage expenses for order-by-mail prescriptions are also allowable.) • Over-the-counter medications approved by a licensed practitioner or other qualified health professional (no formal written prescription is required)
Medical supplies include prescribed adult-sized diapers, such as Depends.
Medical supplies do not include special diets or special foods prescribed by a doctor. A person on a low- or high-sodium diet may purchase prescribed high-sodium foods with their SNAP benefits. Some dietary drinks high in nutrients may be purchased on a medical card. • Nursing care, nursing home care and hospitalization, including payments on bills for people who were members of the household immediately prior to entering a state-certified hospital or nursing home • Maintaining an attendant, a home health aide, a housekeeper or dependent care services due to age or illness, including an amount equal to a one-person SNAP payment standard when the individual furnishes the majority of the attendant’s meals • Individual offset payments when residing in a group living facility
Service expenses are allowable, which is the amount over room and board. • Prescribed assistance animals (such as seeing-eye dog, a hearing dog or housekeeper monkey) that have received special training to provide a service to a participant (This deduction includes the cost of acquiring these animals, their training, food, and veterinarian bills.)
Special training means the animal has been trained to do something for their owner that the animal would not normally know to do. The training needs to be related to providing a service the individual needs due to their disability. Obedience training does not constitute special training.
Questions to consider: » What disability created the need for the service animal? » What is the service the animal is providing? » What is the training the animal received? • The reasonable cost of transportation and/or lodging needed to obtain medical treatment or services.
The same rate as approved by DMAP for medical transportation should be used. This can be found in the NEMT Brokerage Operations Manual in Appendix (D) Covered Transports (at the end of the section).