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541 (07/2026) Chapter 2:Eligibility • Section 10: Long-Term Care (LTC) services • The amount used/anticipated should reflect actual and verified costs. • Recurring costs may not be averaged; however, co-pays for prescriptions filled less than monthly can be converted to a monthly amount. Note: If a medical cost is sent to collections, it is no longer an allowable deduction Deductible costs The following medical costs, incurred by the individual (not a spouse or dependent), are deductible when not covered by Medicaid: • Health and hospitalization insurance premiums and coinsurance are deductible, including Medicare Part D and Part B premiums not covered under buy-in. Health insurance premiums paid less frequently than monthly may be prorated over the period covered by the premium. When a single premium covers the individual and a spouse and/or dependent, do one of the following:

Š Count the amount the premium would be for the individual alone, or

Š Count half the premium as the individual’s portion. Note: The individual must provide verification of the premium amount. However, when a single premium covers the individual and a spouse and/or dependent and the individual is unable to provide verification for the premium amount for the individual alone, you should count half the current premium. Do not pend for additional verification. If verification is provided for the individual’s cost at a later date, update the case with the verified premium amount. • Long-term care insurance premiums are deductible if the insurance pays for one of the following:

Š Home and community-based care,

Š Nursing facility services, or

Š An intermediate care facility for the intellectually and developmentally disabled (ICF/IID). Note: A LTC insurance policy that is set up to pay a lump sum (similar to life insurance) is not deductible. • The cost of a medical service is deductible if it is:

Š Provided by, prescribed by or used under the direction of a licensed medical practitioner, or

Š A medical necessity approved by ODHS|OHA. • Medical deductions are also allowed for, among other things, the cost of:

Š Medical and dental care, including psychotherapy, rehabilitation services, hospitalization and outpatient treatment.

Š Prescription drugs and over-the-counter medications prescribed by a licensed practitioner, the annual fee for a drug prescription card (including Medicare Part D co-pays), medical supplies and equipment, dentures, hearing aids, prostheses and prescribed eyeglasses.

Š Reimbursement to the person responsible for a medical marijuana grow site for the costs of supplies and utilities associated with the production of the marijuana. No other costs are allowed, including labor. Marijuana is a schedule I narcotic and cannot be legally sold or prescribed per federal law. Therefore, no reimbursement for the cost of the marijuana itself is allowed.