Nonallowable expenses
Commercial diet clinics and gyms
Dietetics
Food, health food and nutritional supplements, unless prescribed
Health camps or retreats
In-home cooking/cleaning services
Massage Therapy, unless prescribed (must be provided by licensed practitioner)
OTC drugs and medications not prescribed, including medical cannabis, even if it is prescribed
Out-of-state billings for medical services not recognized under Washington State law
Physical fitness aids unless prescribed for medical services
Property maintenance
Services obtained out of the US
Telephone charges
Trips or retreats
Unpaid LTC participation incurred while active on an institutional Medicaid program
Eligibility for individuals in an alternate living facility
When an individual lives in an alternate living facility (ALF) and pays privately to the facility for their care, these charges are not considered a medical expense and cannot be allowed towards meeting spenddown. See WAC 182-513-1205 for rules on how to determine Medicaid eligibility for an individual who is living in a licensed, state contracted alternate living facility.