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West Virginia Income Maintenance Manual Chapter 4

West Virginia Income Maintenance Manual Page 69 Chapter 4 Income

➢ Allowable Expenses Only medical costs that are not reimbursable through a third party (insurance, Medicaid, etc.) are deducted. The deduction cannot be granted until the reimbursable portion of the expense is known. • The cost of any medical goods or services related to the use of an illegal substance under federal law, including medicinal marijuana, may not be deducted. • Medical and dental care, including psychotherapy and rehabilitation services provided by a qualified health professional. • Prescription and over-the-counter drugs, if prescribed by a qualified health professional. This includes postage and handling costs paid for mail-order prescription drugs. • Medical supplies and equipment, if prescribed by a qualified health professional. Items may be either purchased or rented. • Hospital or outpatient costs, nursing care, and nursing facility care. This is also allowable if paid on behalf of an individual who was a member of the AG immediately prior to admission to a facility. The facility must be recognized by the State. • Health and hospitalization insurance premiums, including long-term care, vision, and dental insurance. When the individual(s) who qualifies for a medical deduction has medical insurance under a policy that benefits other individuals who do not qualify for a medical deduction, only the portion of the insurance premium assigned to the qualifying individual(s) is considered. If specific information is not available about the eligible individual’s premium amount, the premium is prorated among those covered by the insurance. • Medicare premiums, except when the DOHS is paying the premium. • Medical support service systems, if prescribed by a qualified health professional. Allowable costs are related to the purchase, rental, and maintenance of the system. Examples of medical support service systems include, but are not limited to, Lifeline Personal Response, Life Alert, etc. • Dentures • Hearing aids and batteries • Purchase and maintenance of prosthetic devices • Purchase and maintenance of a trained service animal which is required for a physical or mental disability and is prescribed by a doctor. This includes the cost of food and veterinarian bills for the service animal. Trained service animals may include seeing or hearing dogs, therapy animals to treat depression, animals used by persons with other