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VIRGINIA DEPARTMENT OF SOCIAL SERVICES INCOME DEDUCTIONS
10/25 VOLUME V, PART X, PAGE 7
• If a Medicaid application is pending when the SNAP benefit application is approved, the Medicare premium is allowed as a medical expense.
• If a Medicaid application has already been approved when the SNAP benefit application is approved, the Medicare premium is not allowed as a medical expense once Medicaid begins paying the expense as verified through SOLQ-I or SVES.
6) Costs of dentures, hearing aids, and prosthetics.
7) Costs of securing and maintaining a Seeing Eye or hearing dog or other attendant animal as well as veterinarian bills and food for the animal. This excludes costs for emotional support animals.
8) Costs of eyeglasses prescribed by a physician skilled in eye disease or by an optometrist.
9) Reasonable costs of transportation and lodging to obtain medical treatment or services. Actual verified amounts may be used. If specific amounts cannot be verified, then the prevailing rate in the community or the state mileage allowance must be used.
10) Costs of maintaining an attendant, homemaker, home health aide, or childcare services or housekeeper, necessary due to age, infirmity, or illness. In addition, an amount equal to the one-person benefit allotment must be deducted if the household furnishes more than half of the attendant's meals. The benefit allotment that is in effect at the time of certification will be used and updated at the next recertification, if there has been an adjustment in benefit allotments.
If a household incurs attendant care costs, as defined above, that qualify as both a medical deduction and dependent care deduction, the expense may be allowed as a medical expense or a dependent care expense, but not both.
11) Telephone fees for amplifiers and warning signals for disabled persons and costs of typewriter equipment for the hearing impaired. (These costs may not be entered as shelter costs.)
The expenses listed above are also allowable when incurred by a household member who subsequently dies if the expenses are the responsibility of the remaining household members.
b. Disallowed Expenses:
Only those costs listed above will be considered as a medical expense. Any portion of the cost that is reimbursable by insurance policies or covered by Medicaid will not
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