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• The expense is a prior patient liability or cost-share. • The expense was paid by a liable third party. • The expense is unverified. 15.7.4 Impairment-Related Work Expenses IRWE are expenses used to determine eligibility for Medicaid, MAPP, and premium calculations. IRWE are anticipated incurred expenses by the member (and for MAPP only, their spouse) related to the member’s impairment and employment. The expense cannot be one that a similar worker without a disability would have, such as uniforms. The expense cannot be reimbursable by a legally obligated third party such as Medicaid, private insurance, or the member’s employer. If an anticipated IRWE is later paid by an unanticipated source, it is still allowable for past months in which it was budgeted but not for future months. Example 2 On March 25, Cecil was told by Harvey’s Auto Repair Shop that his wheelchair accessible van required repairs to fix the specialized door ramp. Cecil received an estimate of $2,000 for the repairs. The $2,000 estimate was determined to be a standard charge for this type of repair in the community. On March 26, Cecil applied for MAPP in Milwaukee County. At this time, the anticipated expense of the van repair was deducted from Cecil’s income. Cecil delayed making the repairs until May 27, when the van’s wheelchair accessible door completely quit working. At that time, Cecil’s friend Robin paid Harvey’s Auto Repair Shop for the repairs to Cecil’s van door. Cecil reported the repairs and the source of the money for the repairs to his IM worker. Cecil’s IM worker should not deduct the anticipated cost of the van repairs for any subsequent eligibility and premium determinations. Deduct any MAPP member's expenses which: • Do not exceed his or her gross monthly earned income (plus room and board income, if any). • Are reasonably related to his or her earned income. Expenses which are reasonably related to earned income include those incurred in performing on the job and improving the person's ability to do the job. Bills from months prior to the months for which eligibility is being determined are not an allowable IRWE. This is true even if it is currently being paid. Determine a standard charge for the item or service based on what is representative for the member’s community. If you count an expense as an IRWE, do not also use the expense as a medical/remedial expense. Some examples of IRWE are modified audio/visual equipment, typing aides, specialized keyboards, prostheses, reading aids, vehicle modification (plus installation, maintenance, and associated repair costs), and wheelchairs. Do not allow the expense of getting to and from work as an IRWE, unless the expense is related to the member’s disability. Exceptions: Always count the expenses of getting to and from work and the child care expenses as an IRWE for blind individuals. 15.7.5 $65 and ½ Earned Income Deduction The $65 and ½ earned income deduction is an EBD FTG deduction.