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Examples include: a. General Assistance b. Community Options Program (COP) c. AIDS Drug Assistance Program (ADAP) Example 12 Fred receives a medical service which will be paid by ADAP. When Fred comes in to apply for Medicaid and has to meet a deductible this medical bill that has not been paid can be used immediately because it will be paid by the state administered ADAP program.

Example 13 Sally received a medical service in January which was paid by the state administered, state funded Community Options Program in the same month. In February Sally applies for Medicaid requesting a backdate to January. Sally has excess income and must meet a deductible. Since the medical bill was paid by COP within three months of Sally's Medicaid application it can be used to meet Sally's Medicaid deductible. 9. Medical or remedial expenses that have been paid or will be paid by Indian Health Services that meet the conditions detailed in 24.7.1 # 3 Example 14 On January 1, Michael received a medical service which will be paid by Indian Health Services. When Michael applies for Medicaid on January 10 he has to meet a deductible. The bill for the January 1 medical services may be used immediately because it will be paid by the Indian Health Services program.

Example 15 Charlie received a medical service in January which was paid by Indian Health Services in the same month. In February Charlie applies for Medicaid requesting a backdate to January. Charlie has excess income and must meet a deductible. Since the bill was paid by Indian Health Services within three months of Charlie's Medicaid application it can be used to meet Charlie's Medicaid deductible. 10. SeniorCare Enrollment Fees 24.7.2 Noncountable Costs Do not count the following toward the deductible: 1. Medical bills written off through bankruptcy. 2. Medical services payable or paid for by a third party who is legally liable for the bill. This includes bills that will be paid or have been paid by Medicaid, Medicare, or other Insurance. Note If the third party in turn charges the applicant or member for the medical expenses, then the applicant or member remains the liable party for those medical expenses. 3. A bill cannot be used if it has been used to meet a prior deductible. If only a portion of an unpaid bill was used to meet a prior deductible any remaining balance that was not applied to the prior deductible may be applied to a subsequent deductible period as long as it is still owed or meets criteria in 24.7.1 COUNTABLE COSTS. Example 16 An applicant incurs a $300 medical bill. She applies the $300 toward her deductible even though she has not made any payments on the bill. She meets her deductible and is certified