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S N A P M A N U A L

169 Effective November 2015, when a household’s monthly medical expenses total more than $35.00 but do not exceed $210.00, the Standard Medical (SM) deduction of $175.00 ($210.00-$35.00) may be allowed. To be eligible for the SM deduction, a household must incur and verify greater than $35.00 a month in qualifying medical expenses.

Households that report incurring medical expenses greater than $210.00 per month will be given the option to verify all of their actual monthly medical expenses in order to receive the Excess Medical (EM) deduction or monthly medical expenses that total more than $35.00 but do not exceed $210.00 in order to receive the SM deduction. An out-of-pocket medical expense can be paid by another household member as long as an eligible member incurred the expense. The eligible member need not be a current household member but must have been a member of the household at the time the expense was incurred. Credit card charges and loans for out-of-pocket medical expenses are allowed as deductions when the statement is received and the amount of reimbursement is known. The household must be able to verify the portion of the credit card statement or the loan (excluding interest) that is being claimed for the medical deduction. NOTE: Spouses or other persons receiving benefits as a dependent of the SSI or disability and blindness recipient are not eligible to receive this deduction but persons receiving emergency SSI benefits based on presumptive eligibility are eligible for this deduction. (1) Non-recurring medical expenses These medical expenses occur on a one-time basis. • For households subject to six-month or tri-annual recertification, allowable non- recurring medical expenses may be given, at the individual's option, as a one-time deduction, or the expense can be prorated over a 12-month period. • For households in which all adult members are elderly or disabled with no earned income, allowable non-recurring medical expenses may be given, at the individual's option, as a one-time deduction, or the expense can be prorated over a 12-month period. At such time that the household is required to complete an interim contact form, a new certification period begins. (2) Recurring medical expenses These medical expenses continue to occur over a specific period of time. The deduction can be allowed in the month the expense is billed or otherwise becomes due. Past due medical expenses may be taken into consideration if reported at the appropriate certification/recertification as required. If the expense is billed less often than monthly, the household may elect to have the expense averaged over the certification period. Medical expense deductions would be based upon current verified medical expenses and any anticipated changes that can reasonably be expected to occur during the certification period. If the household reports a medical expense at certification but