medical expenses as an deduction
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medical expenses as an deduction


Revised March 25, 2011



When can medical expenses be used as a deduction in computing Basic Food benefits?

 

How do I enter a recurring medical expense?

 

How do I enter a one-time non-recurring medical expense?

 

How do I enter a one-time non-recurring medical expense to be averaged?

 

How do I delete averaged one-time non-recurring medical expenses?

 


 

When can medical expenses be used as a deduction in computing Basic Food benefits?

 

·         When a Basic Food AU includes an elderly or disabled person, medical expenses may be used as a deduction for Basic Food computation.  See EAZ Manual - WAC 388-450-0200 Will the medical expenses of elderly person or individuals with disabilities in my assistance unit be used as an income deduction for Basic Food?

 

How do I enter a recurring medical expense?

 

1.      Select AMEN Option R – Interim/Hist Change. 

 

2.      On the MEDX screen for the appropriate client, enter information as follows:

 

o        In the Type field, enter [the appropriate recurring type code].  See <F1> Help.

 

o        In the End Date field, enter [end date to match the certification period end date].

 

o        In the Amt field, enter [the amount of the recurring expense].

 

o        In the V field, enter [the appropriate valid value].  See <F1> Help.

 

o        If part of the expense is paid by a third party, in the TPL Amt field, enter [the amount of the non-recurring expense that is paid by a third party]. 

 

o        In the Provider Name field, enter [the name of the medical provider or pharmacy].

 

3.      Call DONE and commit the data.

 

How do I enter a one-time non-recurring medical expense?

 

1.      Select AMEN Option R – Interim/Hist Change.  If entering the expense in historical or the current month, in the Benefit Month field enter [the month for which the non-recurring expense is to be applied – MMYY].

 

2.      On the MEDX  for the appropriate client, enter information as follows:

 

o        In the Type field, enter [the appropriate non-recurring type code].  See <F1> Help.

 

o        In the End Date field, enter [the end date for the month in which the non-recurring expense is allowed].

 

o        In the Amt field, enter [the amount of the non-recurring expense].

 

o        In the V field, enter [the appropriate valid value].  See <F1> Help.

 

o        In the TPL Amt field, if part of the expense is paid by a third party, enter [the amount of the non-recurring expense that is paid by a third party]. 

 

o        In the Provider Name field enter [the name of the medical provider or pharmacy].

 

3.      Call DONE and commit the data.

 

How do I enter a one-time non-recurring medical expense to be averaged?


NOTE:

When averaging a one-time non-recurring medical expense, the information on the MEDX must be entered in the ongoing month. 

 

If processing a new Basic Food application, the MEDX information will need to be entered as a one-time non-recurring medical expense in each of the application months prior to the on-going month.

 

The application months may be accessed via AMEN Option P – Process Appl Months.

 

A manual computation is required to determine the amount to be coded as a one-time non-recurring medical expense in the application months prior to the ongoing month.


1.      Select AMEN Option R – Interim/Hist Change. 

 

2.      On the MEDX  for the appropriate client, enter information as follows:

 

o        In the Type field, enter [the appropriate non-recurring type code].  See <F1> Help.

 

o        In the AVG Exp field, enter [Y] – Yes.

 

o        In the Begin Date field, the system will auto populate the date as the first day of the ongoing month.  No entry is required by the user.

 

o        In the End Date field, enter [end date to match the certification period end date.]

 

o        In the Amt field, enter [the amount of the non-recurring expense].

 

o        In the V field, enter [the appropriate valid value].  See <F1> Help.

 

o        If part of the expense is paid by a third party, in the TPL Amt field enter [the amount of the non-recurring expense that is paid by a third party]. 

 

o        In the Provider Name field, enter [the name of the medical provider or pharmacy].

 

3.      Call DONE and commit the data.

 

How do I delete averaged one-time non-recurring medical expenses?

 

1.      In the ongoing month, select AMEN Option R – Interim/Hist Change. 

 

2.      On the MEDX screen:

 

o        In the Del field, enter [Y] – Delete History Change, press <F24> to confirm the deletion.

 

o       When it is determined that an averaged expense needs to be deleted from a historical month, a corrected average will need to be calculated and updated in each historical month up to the ongoing month.

 

3.      Call DONE and commit the data.         

 

Modification Date: March 25, 2011