3. That portion of
medical expenses in excess of $ 35.00 per month, excluding the cost of special
diets, incurred by any household member who is elderly or disabled as defined
at N.J.A.C. 10:87-2.34. Spouses or other persons (that is, essential persons)
receiving benefits as dependents of the SSI or disability and/or blindness
recipient are not eligible to receive this deduction. Persons receiving
"emergency" SSI benefits based on presumptive eligibility are eligible for this
deduction.
i. The following items are
allowable medical costs:
(1) Medical and
dental care including psychotherapy and rehabilitation services provided by a
licensed practitioner authorized by State law or other qualified health
professional;
(2) Hospitalization
or outpatient treatment, nursing care, and nursing home care including payments
by the household for an individual who was a household member immediately prior
to entering a hospital or nursing home provided by a facility recognized by the
State;
(3) Prescription drugs when
prescribed by a licensed practitioner authorized under State law and other
over-the-counter medication (including insulin) when approved by a licensed
practitioner or other qualified health professional; in addition, costs of
medical supplies, sick-room equipment (including rental) or other prescribed
equipment are deductible;
(4)
Health and hospitalization insurance policy premiums. When policies include
individuals who are not eligible for a medical deduction, only that portion of
the premiums which covers the individual(s) eligible for the deduction shall be
deductible. If that portion is not identifiable, then a prorated share may be
used to determine the allowable amount (see
10:87-7.7(b)) .
This deduction only applies when the policy holder is a member of the eligible
household. The costs of health and accident policies such as those payable in
lump-sum settlements for death or dismemberment or income maintenance policies
such as those that continue mortgage or loan payments while the beneficiary is
disabled are not deductible;
(5)
Medicare premiums related to coverage under Title XVIII of the Social Security
Act;
(6) Dentures, hearing aids,
and prosthetics;
(7) Securing and
maintaining a seeing eye or hearing dog including the cost of dog food and
veterinarian bills, as well as the care and maintenance of a dog with a card
that identifies him or her as a service dog, so designated by the Americans
With Disabilities Act,
42 U.S.C. §§
12101 et seq.;
(8) Eye glasses prescribed by a physician
skilled in eye disease or by an optometrist;
(9) Reasonable cost of transportation and
lodging to obtain medical treatment or services.
(A) When a privately owned vehicle is used
for transportation to obtain medical treatment or services, the reasonable cost
of transportation shall be calculated by using the State of New Jersey mileage
reimbursement rate for use of a personal vehicle, as determined by the
applicable circular published by the New Jersey Department of the Treasury,
Office of Management and Budget. The State mileage reimbursement rate must be
used in lieu of the actual expenses of transportation; and
(10) Maintaining an attendant, homemaker,
home health aide, housekeeper or child care services, necessary because of age,
infirmity or illness. In addition, an amount equal to the one person benefit
allotment shall be deducted if the household furnishes the majority of the
attendant's meals. The allotment for this meal related deduction shall be that
in effect at the time of initial certification. The CWA shall update the
allotment amount no later than the next certification. It is not necessary for
the CWA to update this deduction at the time of the annual allotment
adjustment. If a household incurs attendant care costs that could qualify under
both the medical deduction and dependent care deduction, the CWA shall treat
the cost as a medical expense;