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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 14 of 20 i. It will be established whether the individual is entitled to a reimbursement for the medical expense, and if so, how much; and ii. It will then be established whether any portion of the medical expense has already been paid by the individual. iii. Once the one-time medical expense has been allowed, it is not allowed again, even if there is still a balance owing on the bill. iv. Refer to SNAP Deductions from Income Example Scenarios for an example of when to not allow a one-time medical deduction. 4. Proration of the One-Time Expense a. When the HH elects to have the one-time medical expense prorated, they must: i. It will be established whether the HH has a repayment plan; and ii. Whether the individual is entitled to a reimbursement and the amount of the reimbursement will be established. b. Prorating One-Time Medical Expense at Application i. If the expense is reported and verified during the application processing period, the amount of the countable expense will be divided by the number of months in the certification period to obtain a monthly figure. ii. Refer to SNAP Deductions from Income Example Scenarios for an example of how to prorate one-time medical expenses at application. c. Prorating One-Time Medical Expenses during the Certification Period i. If the expense is reported during the certification period, the amount of the countable expense will be divided by the number of months remaining in the current certification period, based on when the expenses was verified and when the change can be effected to obtain a monthly figure. ii. Refer to SNAP Deductions from Income Example Scenarios for an example of how to prorate one-time medical expenses during the certification period. U. Treatment of Recurring Medical Expenses 1. Averaging vs. Actual Medical Bills a. When an individual has recurring medical expenses, he/she has an option to: i. bring in the medical bills each month for a month by month deduction; or ii. have the medical expenses averaged. b. To assist the client in making a choice, the client will be provided with sufficient information to make an informed decision. 2. Averaging Recurring Medical Bills a. For clients that have a predictable pattern of medical expenses each month and/or has approximately the same amount of expenses each month it may be less cumbersome for