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Subject: SNAP Deductions from Income

Policy 24.18 Date of Last Review: 11/30/2023 Effective Date: 09/17/2018 Date of Next Review: 11/30/2026 RDA: SW22 Page 11 of 20 4. Responsibility for Medical Expenses of a Non-Household Member a. At times, the SNAP HH is responsible for a non-HH member’s medical expenses. This normally occurs when an individual dies or enters a nursing home. b. The individual must have been an eligible HH member, and eligible for a medical deduction, immediately prior to entering the hospital or nursing home, or prior to death. c. Only the following should be considered: i. hospitalization; ii. out-patient care; and iii. nursing home care. R. Medical Reimbursements 1. General a. Medical expenses are allowed only after reimbursements have been determined. b. Possible reimbursements for a medical expense exist anytime the individual has Medicare, or health or hospitalization insurance. 2. When Reimbursements Cannot Be Established a. Medical expenses are not allowed if the amount of the reimbursement cannot be established. b. Medical expenses are allowed only when the client is able to verify the amount of reimbursement, even if it is at a later day. c. For a one-time expense, the currently existing balance still owed at the time the amount of reimbursement is verified is allowed. Refer to the SNAP Deductions from Income Example Scenarios for an example on a medical reimbursement and calculating a one time expense from the reimbursement. 3. Verification and Documentation a. The HH’s statement that no reimbursement will be received, unless questionable is acceptable. b. The case record will be documented within forty-eight (48) hours or by the next business day if the following day falls on a weekend or holiday, stating that reimbursements were discussed with the household, whether or not the possibility of reimbursement exists, the amount and expected date of the reimbursement, and how it was verified. c. For an example of verification used to document questionable reimbursements refer to SNAP Deductions from Income Example Scenarios. S. Repayment Plans for Medical Plans 1. Many times a household has established a billing or repayment arrangement with a medical services provider prior to application. a. The HH will have a Verbal or written agreement with the medical services provider.