Or. Admin. Code § 461-160-0055 - Medical Costs That Are Deductible; OSIP, OSIPM, and SNAP
(1) This rule
applies to SNAP filing group (see OAR
461-110-0370) members who are
elderly (see OAR 461-001-0015) or who have a
disability (see OAR 461-001-0015), and to clients in
the OSIP and OSIPM programs.
(2)
Medical costs are deductible to the extent a deduction is authorized in OAR
461-160-0415 and
461-160-0430 and in this
rule.
(3) Health and
hospitalization insurance premiums and coinsurance are deductible. In the OSIPM
and SNAP programs, health insurance premiums paid less frequently than monthly
may be prorated over the period covered by the premium.
(4) In the OSIPM and SNAP programs:
(a) Long-term care insurance premiums are
deductible if the insurance pays for services while an individual is;
(A) Receiving home and community-based care
(see OAR 461-001-0030);
(B) Receiving nursing facility services;
or
(C) In an intermediate care
facility for individuals with intellectual disabilities (ICF/IID).
(b) A policy that is set up to pay
a lump sum, similar to life insurance, is not deductible.
(5) The cost of a medical service is
deductible if it is;
(a) Provided by,
prescribed by, or used under the direction of a licensed medical practitioner;
or
(b) Except in the SNAP program,
a medical necessity approved by the Department.
(6) Medical deductions are also allowed for,
among other things, the cost of:
(a) Medical
and dental care, including psychotherapy, rehabilitation services,
hospitalization, and outpatient treatment.
(b) Prescription drugs and over-the-counter
medications prescribed by a licensed practitioner, the annual fee for a drug
prescription card, medical supplies and equipment, dentures, hearing aids,
prostheses, and prescribed eyeglasses.
(c) In the SNAP program, such items as the
following:
(A) Nursing care, nursing home
care, and hospitalization, including payments for an individual who was a
member of the filing group immediately prior to entering a hospital or a
nursing home certified by the state. Deduction of these payments is also
allowed for an individual who was a member of the filing group immediately
prior to death if the remaining filing group members are legally responsible
for payment of the expenses.
(B)
Services of an attendant, home health aid, housekeeper, or provider of
dependent care necessary due to the client's age or illness, including an
amount equal to a one-person SNAP benefit group (see OAR
461-110-0750) if the client
furnishes the majority of an attendant's meals.
(C) Prescribed assistance animals (such as a
Seeing Eye Dog, Hearing Dog, or Housekeeper Monkey) that have received special
training to provide a service to the client. This deduction includes the cost
of acquiring these animals, their training, food, and veterinarian
bills.
(D) Reasonable costs for
transportation and lodging needed to obtain medical treatment or
services.
(E) Installment plan
arrangements made before a bill becomes past due. The expense is not deducted
if the client defaults and makes a second agreement.
(7) In the SNAP program, the
following costs, even if prescribed by a medical practitioner, are not
allowable medical deductions:
(a) Costs for
and related to medical use of marijuana, including registry identification
cards.
(b) Costs for items related
to special diets which can be purchased with SNAP benefits including, but not
limited to, nutritional drinks and organic foods.
Notes
Statutory/Other Authority: ORS 409.050, 411.060, 411.070, 411.404, 411.706, 411.816 & 413.085
Statutes/Other Implemented: ORS 409.010, 409.050, 411.060, 411.070, 411.404, 411.706, 411.816, 411.837, 414.685 & 414.839
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