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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 9 of 20 c. If a person becomes age sixty (60) during the initial month of certification, the medical expenses can be allowed beginning that month. If a person becomes age 60 later in the certification period, the medical expenses may be considered at that time. d. If a HH member is eligible for a medical deduction but does not claim any, document the case record that no medical expenses were claimed or subsequently reported. 2. SSI Essential Persons Spouses and dependents who receive SSI benefits as SSI essential persons are not eligible for a medical deduction. They are, however, included in the HH. 3. When an Application for SSI or Social Security Disability Has Been Made A member of a currently certified HH who is not age sixty (60) or older may apply for SSI or Social Security Disability. Do not allow a medical deduction until the individual actually receives an SSI or SSA disability check. 4. Termination of SSI, SSA, or Veteran’s Administration (VA) Benefits Whenever SSI, SSA, or VA benefits are terminated, the HH member is no longer entitled to the medical deduction unless he/she meets one of the other criteria. However, if Social Security determined the client disabled and the payment ended or never started due to income/resource rather than due to end of disability, as long as the client still shows classified as disabled by the Social Security Office then the client meets the definition of disabled. If such benefits are resumed later, the individual will be entitled to the medical deduction again. P. Allowable Medical Expenses A medical expense is an identifiable medical cost incurred by a HH member who meets one of the criteria given in Section O under sections 1, 2, 3, 4, and 5 of this policy. Allowable medical costs may include, but are not limited to: 1. medical and dental care, including psychotherapy and rehabilitation services, provided by a licensed practitioner authorized by state law, of other qualified health professional; 2. hospitalization or outpatient treatment, nursing care, and nursing home payments by the HH for an individual who was a HH member immediately prior to entering a hospital or nursing home licensed (or recognized) by the state; 3. prescription drugs when prescribed by a licensed practitioner authorized under state law, and over the counter medication (including insulin) when approved by a licensed practitioner or other qualified health professional; in addition, costs of medical supplies, sickroom equipment (including rental) or other prescribed equipment are deductible; 4. health and hospitalization insurance policy premiums; 5. Medicare premiums related to coverage under Title XVIII of the Social Security Act; and cost- sharing or spend-down expenses incurred by Medicaid recipients; 6. dentures, hearing aids and prosthetics;