There are 2 medical spenddown types, 6-month and monthly. Use a client's total medical expenses up to the amount of the spenddown. Do not automatically allow the total spenddown amount as an expense, unless you verified the expenses used to meet the spenddown at SNAP application or recertification and the unit has not reported further changes. See the Minnesota Health Care Programs Eligibility Policy Manual. Treat attendant care costs as a medical expense if they could qualify both as a medical and a dependent care deduction. Also allow an amount equal to the Thrifty Food Plan (TFP) amount for 1 person if the unit provides the majority of the attendant's meals. Maintaining an attendant, homemaker, home health aide, child care services, or housekeeper needed due to age, infirmity, or illness. However, expenses for the loan, such as interest are not allowed as a medical deduction. Payments made to a loan used to pay a one-time only medical expense. Use the flat rate deduction or itemize transportation expenses. Transportation and lodging needed to get medical care. See 0002.61 (Glossary: SELF) for the definition of service animal. Note: Costs for animals that provide comfort, companionship or emotional support that are not specifically trained as a service animal are not allowed as a medical deduction. This includes but is not limited to veterinary costs, food and treats, collars and leashes, grooming, medicine for the animal and continued training. Verification for the care and maintenance of the animals are required to allow the deduction. Multiple animals may be prescribed depending on the medical condition. Do not attempt to evaluate whether a prescribed treatment is necessary for an individual’s medical condition. The animal must be prescribed or approved by a state licensed practitioner or qualified health professional as listed in 0011.39 (Qualified Professionals). Health and hospitalization insurance and Medicare premiums.ĭentures, hearing aids, prescription eye glasses, and prosthetics.Ĭosts of purchasing and maintaining service animals specially trained to serve the needs of elderly or disabled SNAP recipients. Medical or sickroom supplies and other prescribed equipment. Unreimbursed out-of-pocket prescription drug expenses and over the counter medication approved by a state licensed practitioner or other health professional. Hospital, outpatient treatment, nursing care, and nursing home care. Medical and dental care including psychotherapy and rehabilitation provided by a state licensed practitioner or other licensed professional. Allow the following medical expenses for units meeting the criteria in 0018.12 (Medical Deductions):
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