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• For purposes of meeting a Medicaid deductible, medical services received before the person became eligible for Medicaid (Past medical bills cannot be used for MAPP premium calculations.) Remedial expenses Remedial expenses are costs incurred for services or goods that are provided for the purpose of relieving, remedying, or reducing a medical or health condition. These are expenses that are the responsibility of the member and cannot be reimbursable by any other source, such as Medicaid, Medicare, private insurance, or employer. Some examples of remedial expenses are: 1. Case management 2. Housing modifications for accessibility 3. Respite care or day care 4. Supportive home care Supportive Home Care is necessary assistance to help people meet their daily living needs, ensure adequate functioning in their home, and safely access their community. Services may include: a. Assistance with activities of daily living b. Attendant care c. Supervision d. Reporting changes in the participant’s condition e. Assistance with medication and medical procedures which are normally self- administered f. The extension of therapy services, ambulation and exercise g. Tasks associated with routine household upkeep, including general housekeeping chores, lawn mowing, snow removal, changing storm or screen windows and other household services that are essential to the participant’s safety, well-being and care at home 5. Transportation to obtain medical care. This includes but is not limited to taxi, rideshare services, bus fares, or a person’s own vehicle, if approved. 6. For billed expenses from a CBRF, AFH, RCAC or other community substitute care setting, only the program costs are allowable remedial expenses. Room and board costs are not allowable as remedial expenses. a. Community Based Residential Facility (CBRF), Adult Family/Foster Home (AFH), Residential Care Apartment Complex (RCAC), and all other community substitute care setting program costs are remedial expenses only as they are incurred. These costs will be considered incurred as of the billing date. Disallowed expenses If any of the following is true, the expense is not an allowable medical or remedial expense: • The same expense was previously used to meet a Medicaid deductible. • The same expense was previously used to reduce a premium, cost-share, or patient liability. • The expense was incurred because of imposition of a divestment penalty period.