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ISSUE DATE: 09/2016

No provisions.


Allow the following medical expenses for units meeting the criteria in 0018.12 (Medical Deductions):

Medical and dental care including psychotherapy and rehabilitation provided by a state licensed practitioner or other licensed professional.

Hospital, outpatient treatment, nursing care, and nursing home care.

Unreimbursed out-of-pocket prescription drug expenses and over the counter medication approved by a state licensed practitioner or other health professional.

Medical or sickroom supplies and other prescribed equipment.

Health and hospitalization insurance and Medicare premiums.

Dentures, hearing aids, prescription eye glasses, and prosthetics.

Purchase and maintenance costs of service animals for people with disabilities.

Transportation and lodging needed to get medical care. Use the flat rate deduction or itemize transportation expenses. See 0018.13 (Transportation Expense).

Maintaining an attendant, homemaker, home health aide, child care services, or housekeeper needed due to age, infirmity, or illness. Also allow an amount equal to the Thrifty Food Plan (TFP) amount for 1 person if the unit provides the majority of the attendant's meals. Treat attendant care costs as a medical expense if they could qualify both as a medical and a dependent care deduction. See 0018.09 (Dependent Care Deduction).

Expenses used to meet an MA spenddown. See the Minnesota Health Care Programs Eligibility Policy Manual. Do not automatically allow the total spenddown amount as an expense, unless you verified the expenses used to meet the spenddown at SNAP application or recertification and the unit has not reported further changes. Use a client's total medical expenses up to the amount of the spenddown. There are 2 medical spenddown types, 6-month and monthly. Do not assume clients who are on monthly medical spenddowns will always meet their spenddown.

For applications and recertifications received on or after June 1, 2006, for households with Medicare Part D deductions, allow the actual Medicare expenses incurred. This could include the following items:


Medicare Part D premiums, if any.


Unreimbursed out-of-pocket prescription costs.


Other allowable medical expenses as outlined in this section.

Expenses must be within the SNAP time guidelines for acceptable expenses, and must be for people listed in 0018.12 (Medical Deductions). Some expenses used to meet a MA spenddown may be too old for SNAP purposes, and medical expenses for people other than the person eligible for the medical deduction may be used to meet a spenddown.

Budget monthly spenddown expenses as recurring medical expenses, 6-month spenddown expenses as nonrecurring. See 0018.12 (Medical Deductions).

DO NOT allow the following expenses as medical deductions:

Premiums for health and accident policies which pay lump sum settlements for death or dismemberment, or policies which continue loan or mortgage payments while a person is disabled.

Expenses paid for or reimbursed by a source outside the unit.

The cost of special diets.

Enrollment fees up to $30 and any co-payments for the Medicare-approved discount card programs paid by the unit.

Medical drug discount credit ($600).

Actual or standard medical expense for Medicare Drug discount participants.

The cost of any illegal controlled substance, such as medical marijuana.

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