If the total income is less than or equal to 150 percent of the State's median income adjusted to family size, the applicant may be eligible for a subsidy. Income amounts are included in the total income only if they are regular and ongoing. One-time payments such as gifts or income tax refunds are not included. The total income includes items deducted from salaries and wages such as withholding taxes or social security. Medical Expenses. Medical expenses are deducted from total income if the medical expenses are: Related exclusively to the expenses of the individual with the developmental or functional disability, such as prosthetic devices, but not expenses which would apply to other members of the applicant's household, such as cold remedies; Documented as paid by a valid receipt; Not covered by any insurance or other payment coverage; and Calculated for the preceding 12 months.