Regulation .33 Medical Expenses.
Regulation .33 Medical Expenses.LinkCopy Citation
A.
Medical expenses are counted only for individuals who are elderly or disabled as defined in Regulation .02B of this chapter. Medical expenses include:
(1)
Medical and dental care by a licensed practitioner;
(2)
Hospitalization or outpatient treatment, including payments by the household for a former member who received care in a hospital or nursing home while a member of the household;
(3)
Prescription drugs and over-the-counter medication approved by a licensed practitioner;
(4)
Home medical supplies, sick room supplies, and prescribed equipment;
(5)
Health and hospitalization insurance premiums for the cost of health care only;
(6)
Medicare premiums;
(7)
Cost-sharing or spend down expenses incurred by Medicaid recipients;
(8)
Dentures, hearing aids, and prosthetics;
(9)
Costs of seeing eye and hearing aid dogs;
(10)
Eyeglasses;
(11)
Reasonable costs of transportation and lodging for medical treatment; and
(12)
Costs for in-home aide care or attendants.
B.
Except as described in §C of this regulation, the allowable medical expenses are calculated for a monthly cost amount by:
(1)
Averaging a one-time expense over the remaining months of the certification period;
(2)
Allowing the one-time expense for 1 month; or
(3)
Allowing a known continuing expense in each month of the certification period.
C.
For households certified for 24 months that have a one-time medical expense incurred during the first 12 months, the local department shall give the household the option of:
(1)
Deducting the expense for 1 month;
(2)
Averaging the expense over the remainder of the first 12 months of the certification period; or
(3)
Averaging the expense over the remaining months of the certification period.