<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".33" citation="COMAR 07.03.17.33" title_num="07" subtitle_num="03" chapter_num="17" heading="Medical Expenses.">
  <paragraph num="A.">
    <text>Medical expenses are counted only for individuals who are elderly or disabled as defined in Regulation .02B of this chapter. Medical expenses include:</text>
    <paragraph num="(1)">
      <text>Medical and dental care by a licensed practitioner;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Prescription drugs and over-the-counter medication approved by a licensed practitioner;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Home medical supplies, sick room supplies, and prescribed equipment;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Health and hospitalization insurance premiums for the cost of health care only;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Medicare premiums;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Cost-sharing or spend down expenses incurred by Medicaid recipients;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Dentures, hearing aids, and prosthetics;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Costs of seeing eye and hearing aid dogs;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Eyeglasses;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Reasonable costs of transportation and lodging for medical treatment; and</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Costs for in-home aide care or attendants.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Except as described in §C of this regulation, the allowable medical expenses are calculated for a monthly cost amount by:</text>
    <paragraph num="(1)">
      <text>Averaging a one-time expense over the remaining months of the certification period;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Allowing the one-time expense for 1 month; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Allowing a known continuing expense in each month of the certification period.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>Deducting the expense for 1 month;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Averaging the expense over the remainder of the first 12 months of the certification period; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Averaging the expense over the remaining months of the certification period.</text>
    </paragraph>
  </paragraph>
</regulation>