SNAP

Households that have a member who is eligible for a medical expense are eligible for a deduction using either the standard medical expense (SME) or actual medical expenses.

At then verify and budget application, if the household has medical expenses over $35 and $170 or less a month, the household has medical expenses over $35, the SME. application, if the household has medical expenses over $170 a month, actual medical expenses, actual monthly medical expense amount, if the household provides verification of medical expenses over $170; or the SME, if verified medical expenses are over $35 and $170 or less. If the household does not provide verification of medical expenses, do not allow a deduction $170, then allow the SME instead of actual. redetermination, if: the household already has medical expenses over $35 and $170 or less; and there is no change, or the amount changed but the monthly medical expense is still over $35 and $170 or less, no additional verification is required, the SME. redetermination, if SNAP budget does not already include the SME and the household states an eligible member has medical expenses over $35 and $170 or less, the household has medical expenses over $35, the SME. redetermination, if SNAP budget does not already include actual medical expenses and the household states an eligible member has medical expenses over $170, actual medical expenses, actual monthly medical expense amount, if the household provides verification of medical expenses over $170; or the SME, if verified medical expense is over $35 and $170 or less. If the household does not provide verification of medical expenses, do not allow a deduction. redetermination, if: the household has actual medical expenses over $170 already budgeted, and there is over a $25 change in the monthly amount, the change in medical expenses, the SME if the new total is over $35 and $170 or less; or actual medical expenses if the new total is over $170.

When the medical expense ends, staff must end-date the medical expense record in TIERS.

TIERS automatically subtracts $35 from the SME or actual medical expenses to determine the net amount of the medical deduction.

If a member is disqualified for:

SNAP Employment and Training (E&T), a felony drug conviction, IPV, refusal to cooperate with the quality control review process, or being a fugitive, and is billed for or pays medical expenses — the full deduction is allowed; or

SSN noncompliance, citizenship requirements, alien status, or the ABAWD work requirement, and is billed for or pays medical expenses for the disqualified member's own expenses or the medical expenses of another household member who is elderly or has a disability — the expense or the standard medical deduction is prorated among all household members and the pro rata share for people disqualified for SSN noncompliance, citizenship requirements, alien status, or the ABAWD work requirement is not allowed. The full medical deduction is allowed if the medical expenses are paid by an eligible household member.

If the disqualified person has the only income, the medical expenses are considered paid by the only person with income.

The following information describes how the SME or actual medical expenses are prorated in the event a disqualified member pays for some or all the allowable medical expenses.

Eligibility for the SME or actual medical expenses is determined based on verified medical expenses of all aged members or members with disabilities, including a disqualified member. The SME is used if the total verified medical expenses are over $35 and l $170 or less. The household may claim actual expenses if the total verified expenses are over $170.

If then and the household is eligible for the SME, prorate the SME among all household members, use the eligible household members' portion of the SME in the budget. In TIERS, enter the amount each member actually pays, and TIERS prorates accordingly. the household is eligible for actual medical expenses, prorate the portion paid by the disqualified member among all household members, add the eligible household members' prorated portion to the actual amount of medical expenses any eligible member pays and use this amount in the budget. In TIERS, enter the amount each member actually pays, and TIERS prorates accordingly.

Example 1 (SME): The household consists of three eligible members with total verified monthly medical expenses of $75 and one member who is disqualified due to citizenship. The disqualified person pays for half of the medical expenses, and an eligible person pays for the other half. The household is eligible for the SME because the total verified monthly medical expenses are $75, which is more than $35 but less than $170. The SME is prorated among the eligible members because the disqualified member pays for part of the medical expenses.

$170 / 4 = $42.50 $42.50 x 3 = $127.50

In TIERS, a medical expense of $37.50 ($75 divided by 2) is entered for both the disqualified person and for the eligible member, which is the amount of monthly medical expenses each member actually pays, and TIERS will budget a prorated SME of $127.50.

Example 2 (Actual Medical Expenses): The household situation is the same as Example 1, except that the monthly amount of verified medical expenses is $200. The disqualified member pays $100 of the medical expenses. The household is eligible for the actual amount of medical expenses. The amount the disqualified member pays is prorated and added to the portion paid by the eligible member to determine the total amount of the medical deduction.

$100 / 4 = $25 $25 x 3 = $75 $75 + $100 = $175

The following amounts are entered in TIERS:

$100, for the eligible member; and

$100, for the disqualified member and TIERS will prorate the allowable amount to $75.

Finally, TIERS automatically subtracts $35 from the total deduction to determine the net amount of the medical deduction.