Department of Human Services

Food Stamp OnlinePolicy Manual





Food Stamp Table of Contents

Medical Deductions Supplement

A.     Applications


A change may occur during the application processing period which effects an individualís eligibility for a medical deduction. Consider these changes in determining the householdís coupon allotment beginning with the initial month of the certification period.


If the household anticipates a medical expense several months into the certification period and provides adequate verification at application the household may elect to have the expense averaged over the entire certification period.


When a household reports an anticipated medical expense at the time of application but is unable to provide the verification at that time, do not allow until the verification is provided.


B.      Active Cases


Households are required to report and verify all medical expenses at the time of application and at reapplication. They may report changes in their medical expenses during the certification period but are not required to do so.


When a household voluntarily reports a change, it should be acted upon within the normal timeframes for handling changes.


When a change in medical expenses is discovered from a source other than the household, the change would be acted upon if the change is considered verified and no further information is needed. If the change that was reported from another source would require a contact of the household, the change would not be acted upon during the certification period.


C.      Death Of The Eligible Household Member


(1)   One-Time Medical Expenses


Continue to count the medical expense throughout the remainder of the certification period when:


(a)   the household member who is eligible for the medical deduction dies; and


(b)   the one-time medical expense was prorated over the certification period.


(2)   Recurring Medical Expenses


Terminate the medical deduction within the normal criteria concerning changes which reduce benefits when:


(a)   the household member who is eligible for the medical deduction dies; and


(b)   the HH is receiving a medical deduction for recurring medical expenses (either averaged over the certification period or actual expenses).


Example:A three-person household consists of a husband, wife and child. The wife receives SSI and the household has chosen to have her recurring medical expenses averaged.


On June 3, the household reports that the wife has died. Because the household member eligible for the medical deduction has died, and the medical deduction was based on recurring medical expenses, the budget is revised to delete the medical deduction, effective with the July allotment.


(3)   Expenses of a Non-Household Member


Sometimes the food stamp household is responsible for a non-household memberís medical expenses.


The individual must have been an eligible HH member, and eligible for a medical deduction, immediately prior to entering the hospital or nursing home, or prior to death.


Allow only the following expenses:



        outpatient care; and

        nursing home care.


This applies, even if none of the remaining household members are age 60 or disabled.


Example:A household consists of a husband (age 50), his wife (age 49), and their disabled son who receives SSI benefits. They are currently certified from January 1 through June 30.


Their son has a hospital bill that was prorated over their certification period, allowing them a monthly medical deduction.


On March 10, they report that their son has passed away. Even though the son will be removed from the household effective April, continue to allow the HH the medical deduction for April through June.


D.     Changes Reported in the Last Month of the Certification Period


A household may report and verify an allowable one-time medical expense during the last month of the certification period.


(1)   Household Remains Eligible at Recertification


If the household continues to be eligible at recertification, allow only the currently existing non-reimbursable balance owed at the time. The household has the same options available to it, as discussed under Treatment of Medical Expenses, based on whether or not it has established a repayment.


Example:Mr. Jones reports a $200 one-time medical expense in July, which is the last month of his current certification period. He reports this during his July 10 recertification interview. The EW may consider the one-time expense for his new certification period.


Example:Mr. Hurt reports a $600 one-time medical expense in May. His certification period expires July 31. He provides verification of a $150 reimbursement on the bill from his health insurance during the July 8 recertification interview. At the time of recertification, the EW may consider the remaining $450 balance as an allowable medical expense.


(2)   Ineligible at Recertification


If the household is determined ineligible at certification, no further action is required. If the HH reapplies at a later date, and is determined eligible, verify whether the expense is reimbursable and the amount of the reimbursement.


Allow only the currently existing balance owed on the one-time expense at the time the HH reapplies and is determined eligible. Do not allow recurring expenses that have been brought forward from previous billing periods.


Glossary of Terms

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