PM 13-01-05-c
Expense Incurred More Than Once
When a SNAP unit, using actual medical expenses instead of a Standard Medical Deduction, is billed for a medical expense more often than monthly, convert the cost to a monthly amount. Multiply weekly amounts by 4.3, bi weekly amounts by 2.15, and semi monthly amounts by 2.
One Time Only Expenses
If a unit, using actual medical expenses instead of a Standard Medical Deduction, wants to average a one time only medical expense over the remaining months of the approval period, take the action effective for the month the Family Community Resource Center (FCRC) is required to take action on the change (see PM 18-04-07). At initial approval and at SNAP REDE, begin averaging with the first month of the new approval period.
If a unit is making installment payments on a bill, allow a deduction for the payment if the payment plan was set up when the expense was first billed or came due.
NOTE: To allow a medical expense, the amount must be over $35. When averaging medical expenses, if the averaged amount is $35 or less, the expense must be used on a one time only basis.
Installment Payments
If a SNAP unit, using actual medical expenses instead of a Standard Medical Deduction, verifies installment payments, allow the current billing for installment payments when a payment plan for an allowable medical expense is established. Do not allow past due amounts.
Example 1: Ms. M verified that she is billed $300 per month because a payment plan was set up to pay for outpatient surgery that was not covered by insurance. Allow $300 per month as an actual medical expense.
Example 2: Mr. T verified a monthly billing of $250 for a payment plan for dental work. His most recent statement verified that he only paid $100. Add $100 per month to his other medical expenses. 
Allow the $185 Standard Medical Deduction if the total of all his expenses are less than $185. If expenses are greater than $185 allow actual medical expenses.
