1700.5.2 Allowable Medical Expenses

Allow the following medical expenses: Attendant, homemaker, home health aide, child care, or housekeeper necessary due to age, infirmity or illness; Note : Treat attendant care costs that qualify either as a medical or dependent care expense as a medical expense. Subtract the 1-person benefit amount from the cost if the household furnishes the majority of the attendant's meals. Allow the benefit that is in effect at the time of approval. Ambulance services; Cost sharing or spend down expenses incurred by Medicaid members; Note : This includes the Choices for Care/Long Term Care patient share. Information is found in ELIG/D/LONG. This is considered verified upon receipt. Credit card or loan principal payments if the medical expense was paid with the card/loan; Note : Do not allow interest payments as a medical expense Dental care, including denture costs; Eye glasses and contact lenses prescribed by an ophthalmologist or optometrist; Hearing aid costs; Hospitalization or outpatient treatment; Insurance premiums for health and hospitalization costs; Note : Only allow the premium of the senior or disabled household member. If there is not specific information on separation of the premium amount, allow a prorated amount; Lifeline/MedicAlert costs if prescribed by a Qualified Health Professional See Examples ; To determine if a person is licensed in Vermont, go to Vermont Secretary of State Licensee Look Up or Vermont Health Professionals Look Up . Examples include but are not limited to: Acupuncturists Allied Mental Health Applied Behavior Analysis Chiropractic Dental Examiners Dietitians Midwives Naturopathic Physicians Nursing Optometry Osteopathic Physician Physical Therapists Physicians Physicians Assistants Podiatrists Psychoanalyst Psychologic Examiner Respiratory Care Practitioner Substance Abuse Counselors Medical care including psychotherapy and rehabilitation services provided by a Qualified Health Professional See Examples ; To determine if a person is licensed in Vermont, go to Vermont Secretary of State Licensee Look Up or Vermont Health Professionals Look Up . Examples include but are not limited to: Acupuncturists Allied Mental Health Applied Behavior Analysis Chiropractic Dental Examiners Dietitians Midwives Naturopathic Physicians Nursing Optometry Osteopathic Physician Physical Therapists Physicians Physicians Assistants Podiatrists Psychoanalyst Psychologic Examiner Respiratory Care Practitioner Substance Abuse Counselors Medical equipment and supplies, including rental equipment when recommended by a Qualified Health Professional See Examples ; To determine if a person is licensed in Vermont, go to Vermont Secretary of State Licensee Look Up or Vermont Health Professionals Look Up . Examples include but are not limited to: Acupuncturists Allied Mental Health Applied Behavior Analysis Chiropractic Dental Examiners Dietitians Midwives Naturopathic Physicians Nursing Optometry Osteopathic Physician Physical Therapists Physicians Physicians Assistants Podiatrists Psychoanalyst Psychologic Examiner Respiratory Care Practitioner Substance Abuse Counselors Medicare/Medi-Gap premiums; Note : Do not enter the Medicare premium on ACCESS if the Payer is “Self” on the MEDI panel. Membership fees for primary care services; Nursing care; Nursing home costs; Over-the-counter medication, including insulin and vitamins, when recommended by a Qualified Health Professional (see Examples ), including the cost of postage for mail order over-the-counter medication; Note : CBD which contains no more than .3 percent THC is an allowable medical expense. Send full product information to AOPs for pricing. To determine if a person is licensed in Vermont, go to Vermont Secretary of State Licensee Look Up or Vermont Health Professionals Look Up . Examples include but are not limited to: Acupuncturists Allied Mental Health Applied Behavior Analysis Chiropractic Dental Examiners Dietitians Midwives Naturopathic Physicians Nursing Optometry Osteopathic Physician Physical Therapists Physicians Physicians Assistants Podiatrists Psychoanalyst Psychologic Examiner Respiratory Care Practitioner Substance Abuse Counselors Prescription drugs when prescribed by a Qualified Health Professional (see Examples ), including the cost of postage for mail-order prescription drugs; To determine if a person is licensed in Vermont, go to Vermont Secretary of State Licensee Look Up or Vermont Health Professionals Look Up . Examples include but are not limited to: Acupuncturists Allied Mental Health Applied Behavior Analysis Chiropractic Dental Examiners Dietitians Midwives Naturopathic Physicians Nursing Optometry Osteopathic Physician Physical Therapists Physicians Physicians Assistants Podiatrists Psychoanalyst Psychologic Examiner Respiratory Care Practitioner Substance Abuse Counselors Prosthetic costs; Service animal costs, including purchase, maintenance, veterinary care, food, etc. The animal must be trained to perform some function that the disabled/senior member cannot readily perform or to help compensate for a physical condition. The trainer does not need to have any special credentials and can be the person claiming the expense as long as the animal is trained to do a specific function the owner cannot do for themselves. To determine if the animal is a service animal ask; What service is the animal providing that meets the needs of the disabled/senior individual, and What training did the animal receive to be able to provide the service. Transportation and lodging to obtain medical care, prescription drugs, over the counter medication, etc. Note : For transportation, allow the actual cost if paid to a non- household member. If a household member drives, allow .585 cents per mile. Confirm the customer used their vehicle to drive, to allow mileage.