Md. Code Regs. 07.03.17.33

Current through Register Vol. 51, No. 26, December 27, 2024

Section 07.03.17.33 - Medical Expenses

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.

Md. Code Regs. 07.03.17.33

Regulations .33 adopted effective December 25, 2000 (27:25 Md. R. 2280)