# COMAR Title 07 — Department of Human Services

## Subtitle 03 — Family Investment Administration

### Chapter 17 — Food Supplement Program

#### Regulation .33 Medical Expenses.

*COMAR 07.03.17.33*

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.