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171 (F) Cost-sharing or spend down expenses incurred by Medicaid recipients Mandatory incurred medical expenses required prior to eligibility for certain Medicaid programs. (G) Dentures, hearing aids and prosthetics

(H) Cost of eyeglasses or contact lenses Prescribed by a physician skilled in eye diseases or an optometrist. (I) Costs associated with any animal specially trained to serve the needs of elderly or disabled program participants are allowable for purposes of the medical deduction when the service animal is prescribed by a licensed practitioner authorized by state. Includes food, veterinarian bills and other related expenses. NOTE: The individual/client must confirm the need for the service animal. This means that the individual’s/client’s statement, verbal or written, is acceptable verification to establish that an animal is a service animal and the task(s) the animal has been trained to perform. However, the cost(s) associated with having a service animal must be verified by bills, receipts, etc., in order to receive a medical deduction. (J) Reasonable cost of transportation and lodging necessary to obtain medical treatment or services Mileage cost established for state employees (when a State vehicle is not available) is allowed when a client uses a vehicle owned by the SNAP household. Actual cost must be used for all other types of transportation. (K) Cost of maintaining an attendant, homemaker, home health aide, childcare service or housekeeper necessary due to age, infirmity, or illness If the household furnishes the majority of attendant’s meals, a deduction in an amount equal to the maximum one-person SNAP allotment according to the Thrifty Food Plan (TFP) in effect at certification is allowed. If a household incurs attendant care costs that could qualify under both the medical deduction and dependent care deduction, the costs may be deducted as a medical expense or a dependent care expense, but not both. (L) Cost of telephonic equipment Includes monthly telephonic fees for amplifiers and warning signals and cost of typewriter equipment for the deaf or hard of hearing which can be plugged into the telephone system.

Expenses incurred because of special diets are not an allowable medical deduction.