Current through Register Vol. 35, No. 18, September 24, 2024
A.
Use of deductions: A household must qualify for deductions by
first meeting a gross income test. A household is not eligible if gross income
is more than the standard listed in Subsection E of
8.139.500.8 NMAC for a household
size. If income falls below the gross income limit, a household shall be
allowed deductions, where applicable, to make a final eligibility and benefit
amount determination. Households that include elderly or disabled members, as
defined, automatically qualify for deductions; eligibility is determined based
on net rather than gross income.
B.
Standard deduction: All households are allowed a standard
deduction from income. The standard deduction is listed in Paragraph (3) of
Subsection F of
8.139.500.8 NMAC, tables, and is
adjusted effective every October 1st.
C.
Earned income deduction:
Twenty percent of gross earned income shall be deducted. Excluded income is not
used for purposes of computing the earned income deduction.
(1)
Computing an over issuance:
The earned income deduction (EID) shall not be allowed when calculating the
income to be used in determining an over issuance which is due to the failure
of a household to report earned income in a timely manner.
(2)
Work supplementation
programs: The EID shall not be allowed for any amount of income which is
earned under a work supplementation or support program and is attributable to
public assistance.
D.
Medical deductions: Allowable medical deductions include:
(1)
Elderly/disabled: Medical
expenses in excess of $35.00 per month, excluding special diets, incurred by
any household member who is elderly or disabled.
(2)
Emergency SSI: Individuals
receiving emergency SSI benefits based on presumptive eligibility shall be
eligible for the medical deduction.
(3)
Death: A medical expense
incurred by a household member who dies shall be allowed as a deduction if the
member was eligible for the deduction at the time of death and if the remaining
household members are legally responsible for payment.
(4)
Hospital/outpatient/nursing
home: Medical expenses, such as hospitalization or outpatient treatment,
nursing care and nursing home care, including payments by a household for an
individual who was an eligible household member immediately before entering a
hospital or nursing home facility recognized by the state, are allowable
deductions.
(5)
Not
eligible: Spouses, children or other individuals in the household who
are not elderly or disabled, shall not be entitled to claim the medical
deduction.
(6)
Allowing
medical expenses:(a)
One/time
only expense:(i) A household may
choose to have a one/time only expense, reported at certification, deducted in
a lump sum or averaged over the certification period.
(ii) If a household incurs a one/time medical
expense and has made arrangements with the provider to make monthly
installments (beyond the current certification period), the expense may be
allowed each month as arranged.
(iii) A household reporting a one/time only
medical expense during its certification period may choose to have a one/time
deduction or to have the expense averaged over the remaining months of the
certification period.
(b)
Households certified for 24
months: A household certified for 24 months cannot have a one/time
medical expense averaged over the 24/month certification period.
(i) A one/time medical expense may be
deducted in the first month of the 24/month certification period; or the
one/time medical expense may be deducted and averaged over the first 12 months
of the 24/month certification period.
(ii) One/time medical expenses reported after
the first 12 months of the certification period shall be averaged over the
remaining months.
(c)
Expense in last month of certification: If a household is billed
for and reports an expense during the last month of its certification period,
the deduction shall not be allowed. If the expense will be paid in installments
during the following certification period, the deduction shall be allowed
during the appropriate number of months in the subsequent certification
period.
(d)
Fluctuating
expenses: Fluctuating medical expenses shall be allowed as deductions if
regularly recurring, reasonably anticipated, and verified. Once determined, the
household is not required to report changes of $25 or less or reverify expenses
each month.
(e)
Anticipated
changes in expenses: At certification and recertification the household
must report and verify all medical expenses. The household's monthly medical
deduction for the certification period shall be based on:
(i) anticipated changes in the household's
medical expenses that can reasonably be expected to occur during the
certification period based on available information about the recipient's
medical condition, public or private insurance coverage, and current verified
medical expenses; and
(ii) expenses
that occurred during the certification period that will continue in the new
certification period; and
(iii)
consideration of unpaid and past due medical expenses that will continue in the
certification period.
(f) If a household reports an allowable
medical expense at the time of certification but cannot provide verification at
that time, and if the amount of the expense cannot be reasonably anticipated
based upon available information about the recipients' medical condition and
public or private medical insurance coverage, the household shall have the
non-reimbursable portion of the medical expense considered at the time the
amount of the expense or reimbursement is reported and verified.
(g) A household shall not be required to file
reports about its medical expenses during the certification period. If a
household voluntarily reports a change in its medical expenses, the caseworker
shall act on the change in accordance with regulations in Subparagraph (c) of
Paragraph (1) of Subsection B of
8.139.120.10 NMAC.
(7)
Past due and unpaid
medical expenses: The medical expense deduction shall not be determined
by averaging past due or unpaid monthly medical expenses. Such expenses shall
be used only as an indicator of what can reasonably be anticipated. Medical
expenses which the household might reasonably anticipate receiving include but
are not limited to costs of medical services and treatment received regularly,
but less often than monthly, and prescription drugs.
(8)
Medical and dental care:
Medical and dental care, psychotherapy, and rehabilitation services, provided
by licensed practitioners authorized by state law, or other qualified health
professional, shall be allowed as medical expense deductions. State licenses in
New Mexico are authorized by occupational licensing boards. A state/licensed
practitioner has such a license. Native American practitioners (medicine men)
are not licensed, but are recognized as health practitioners for this
purpose.
(9)
Prescription
drugs and medical supplies: Prescription drugs, when prescribed by a
licensed practitioner authorized under state law, and over/the/counter
medications (including insulin) when approved by a licensed practitioner or
other qualified health professional, shall be allowed as deductions. In
addition, costs for medical supplies, sick/room equipment (including rental),
or other prescribed equipment are deductible.
(10)
Health and
hospitalization/medicare premiums: Health and hospitalization insurance
premiums, and medicare premiums, as well as any cost sharing or spend/down
expenses incurred by medicaid recipients, are allowable deductions. If a
medical insurance policy includes benefits for household members not eligible
for a deduction, only that portion of the premium assigned to the eligible
member(s) may be considered a deduction. In the absence of specific information
about how much of the premium is for the eligible member(s), a pro rata amount
may be used. This system may be used even if the policy holder does not qualify
for the deduction but the policy includes a person(s) who does qualify. The
cost of life or health and accident policies, such as those payable in lump sum
settlements for death or dismemberment, or income maintenance policies that
continue mortgage or loan payments while the beneficiary is disabled, are not
deductible.
(11)
Transportation and lodging costs: Reasonable costs of
transportation and lodging to obtain medical treatment or services are
deductible. The allowance for mileage in privately owned vehicles is the same
as the amount allowed state employees. Lodging costs may not exceed the daily
expense amount allowed (per diem) for state employees.
(12)
Maintaining an attendant:
Costs of maintaining an attendant, homemaker or home health aide, child care
services, or housekeeper that are necessary because of age, infirmity, or
illness are deductible medical expenses. In addition, an amount equal to the
food stamp benefit amount for one person is deductible if the household
furnishes the majority of the attendant's meals. The food stamp benefit amount
for the meal/related deduction is the one in effect at the time of initial
certification. The caseworker shall update the food stamp benefit amount for
meals at the next scheduled recertification. If a household incurs attendant
care expenses that could qualify under both the medical deduction and the
dependent care deduction, the caseworker shall treat the expense as a medical
expense.
(13)
Other
expenses: Other deductible expenses include but are not limited to:
(a) dentures, hearing aids,
prosthetics;
(b) securing and
maintaining a seeing/eye or hearing dog, or other service animal, including the
cost of dog food and veterinary bills; and
(c) eyeglasses or contact lenses prescribed
by an ophthalmologist or an optometrist.
(14)
Prescription drug card
expense:(a) An individual
participating in the food stamp program who has enrolled for the
medicare/approved drug discount card shall have $23.00 credited to the monthly
medical expense allowed for that individual.
(b) An individual participating in the food
stamp program who receives a $600.00 transitional assistance credit on the
medicare/approved drug discount card for the calendar years 2004 and 2005 shall
have $50.00 credited to the monthly medical expense allowed for that individual
for each month after September 2004, through December 2005, and not beyond that
month.
E.
Dependent care expenses:
(1)
Deductible amounts: Payments may be deducted for the actual cost
of the care of children or other dependents when necessary for a household
member to accept or continue employment, comply with E&T work requirements,
or an equivalent effort by those not required to comply with E&T work
requirements, or attend training or pursue education which is preparatory to
employment or leads to a degree. Allowable costs include:
(a) the costs of care given by an individual
care provider or care;
(b)
transportation costs to and from the care facility; and
(c) activity or other fees associated with
the care provided to the dependent that are necessary for the household to
participate in the care.
(2)
Household member provides
care: If a household member provides dependent care, the payment is
neither income to the payee nor a deduction for the payor (see Subsection A of
8.139.500.11 NMAC).
F.
Household
expenses:
(1)
Shelter
expenses:(a)
Definition:
Continuing charges for the shelter occupied by a household include rent,
mortgage payment, or other continuing charges leading to the ownership of the
shelter, such as loan repayments for the purchase of a mobile home and interest
on such payments. If payments are made on more than one mortgage on the home,
each payment is counted for the period the payment is intended to cover.
Security deposits on rental property and downpayments for the purchase of a
home are not allowed as shelter expense deductions. Closing costs shall not be
allowed as a shelter expense, unless the closing costs can be itemized to
identify costs that are allowable deductions, such as insurance and property
taxes.
(b)
Excess shelter
expense deduction: Monthly shelter expenses in excess of fifty percent
of a household's income, after all other deductions have been allowed may be
deducted, subject to the following restrictions:
(i) The shelter deduction may not exceed the
maximum amount indicated in Paragraph (3) Subsection F of
8.139.500.8 NMAC, unless the
household contains a member who is elderly or disabled, as defined.
(ii) Households may not claim shelter
expenses if the expense shall be paid as a vendor payment by an individual or
organization outside the household.
(iii) The household must be responsible for
payment of the shelter expense; however, the household need not have paid the
expense to claim the deduction. A current billing statement is used to
establish the expense. The expense may not be allowed more than once.
(2)
Taxes and
insurance: Property taxes, state and local assessments, and insurance on
the structure itself, but not separate costs for insuring furniture or personal
belongings, are deductible expenses.
(3)
Natural disasters: Expenses
for the repair of a home that has been substantially damaged or destroyed by a
natural disaster such as fire or flood may be deducted. Expenses shall not be
allowed if the household has been or will be reimbursed by public or private
relief agencies, insurance companies, or any other source. Expense deductions
are limited to the repair of the home and not its furnishings.
(4)
Costs of temporarily unoccupied
home:(a) If the home is temporarily
unoccupied by a household because of employment or training away from home,
illness, or abandonment caused by a natural disaster or casualty loss, the
shelter costs for the home may be deducted. However, a household may claim only
one SUA.
(b) For costs of a home
vacated by the household to be included in its shelter costs:
(i) the household must intend to return to
the home;
(ii) the current
occupants of the home, if any, cannot be claiming shelter expenses for food
stamp purposes;
(iii) the home
cannot be leased or rented during the household's absence.
(c) Verification is required of households
claiming this deduction if the cost is questionable or would result in a
deduction.
(5)
Maximum deduction limit adjustment: The maximum deduction limit
for excess shelter expenses will be revised as required by the Personal
Responsibility and Work Opportunity Reconciliation Act of 1996, as follows:
effective January 1, 1997 through September 30, 1998, the deduction will be
$250; from October 1, 1998 through September 30, 2000 the deduction will be
$275; and effective from October 1, 2000 the deduction will be $300; and will
remain so indefinitely.
(6)
Homeless shelter standard: A household in which all household
members are defined as homeless, within the definition at Paragraph (40) of
Subsection A of
8.139.100.7 NMAC, shall be allowed
the homeless shelter standard if the household incurs any shelter expenses at
any time during the month.
(a) The homeless
household may claim actual shelter expenses if the expenses exceed the homeless
shelter standard and the expenses are verified. Verification standards at
Subsection A of
8.100.130.15 NMAC and
8.100.130.9 NMAC shall be used to
verify shelter expenses, as well as other reasonable documentation determined
to establish the homeless household's actual expenses.
(b) The caseworker shall assist the homeless
household in determining whether claiming the homeless shelter standard or
actual expenses would be most beneficial to the household.
(c) The homeless shelter standard shall be
deducted from the household's countable net income.
(7)
Utility expenses:
(a)
Allowable expenses for the
mandatory utility standards: Allowable expenses that may be used to
determine the mandatory utility standards include the cost of home heating or
cooling; cooking fuel; electricity; water and sewerage; garbage and trash
collection fees; the service fee for one telephone, including but not limited
to, basic service fees, wire maintenance fees, subscriber line charges, relay
center surcharges, 911 fees, taxes; and fees charged by the utility provider
for initial installation of the utility.
(i) A
one/time deposit is not allowed as a utility expense.
(ii) Expenses billed to a landlord or housing
unit, but separately identifiable from the rent as an expense to the household,
are allowable expenses.
(iii) A
household shall not be allowed actual utility expenses, even if the expenses
exceed the amount of the mandatory utility standard for which the household is
eligible.
(iv) A household that is
determined eligible for a mandatory utility standard deduction shall receive
only one standard deduction during the household's food stamp certification
period.
(b)
Mandatory heating or cooling standard: A food stamp household
shall be allowed the heating/cooling standard utility allowance (HCSUA) during
the household's certification period. The HCSUA includes all utility expenses
for heating or cooling the household's home. The household's heating or cooling
expense must be billed separately from other shelter expenses. The HCSUA shall
be allowed if the household:
(i) incurs a
heating or cooling expense separate from other shelter expenses; or
(ii) receives or received a direct payment or
a payment is made on behalf of the household under the Low Income Home Energy
Assistance Act of 1981; or
(iii)
receives or received a payment or a payment is made on behalf of the household
under any other similar energy assistance program as long as the household
still incurs out/of/pocket heating or cooling expenses in excess of the energy
assistance provided; or
(iv) lives
in a public housing unit that has central utility meters, incurs a heating or
cooling expense, and the household is charged only for excess heating or
cooling usage.
(c)
Mandatory limited utility standard: A food stamp household shall
be allowed a limited utility allowance (LUA) if the household does not incur a
heating or cooling expense but does incur two or more of the following
expenses:
(i) electricity or fuel, for
purposes other than heating or cooling;
(ii) water;
(iii) sewerage;
(iv) well and septic tank installation or
maintenance;
(v) garbage or trash
collection; and
(vi) one
telephone.
(d)
Mandatory telephone standard: A food stamp household shall be
allowed the telephone standard if the household incurs an expense only for the
telephone used by the household. The telephone standard shall be allowed for
only one telephone charge for the residence.
G.
Child support deduction: A
deduction shall be allowed for child support payments paid by a household
member to or for a non/household member, provided that the household member has
a legal obligation to pay child support and such payments are being made.
(1)
Legal obligation and
verification: The household's legal obligation to pay child support, the
amount of the obligation, and the monthly amount of child support the household
actually pays shall be verified. Any document that verifies the household's
legal obligation to pay child support, such as a court or administrative order,
or legally enforceable separation agreement shall be acceptable verification.
Documents that are accepted as verification of the household's legal obligation
to pay child support shall not be accepted as verification of the household's
actual monthly child support payments. Actual payment of child support shall be
verified by documentation including, but not limited to, cancelled checks, wage
withholding statements, verification of withholding from unemployment
compensation, and statements from the custodial parent regarding direct
payments or third party payments the non/custodial parent pays or expects to
pay on behalf of the custodial parent. The department shall be responsible for
obtaining verification of the household's child support payments if the
payments are made to the child support enforcement division.
(2)
Determining the deduction
amount:(a)
Household with at
least three months of payment history: Average the last three month
period, taking into account any anticipated changes in the legal obligation.
This average is the child support deduction amount. In the event that the
client has at least a three month payment history and the payment includes
arrearages, the amount paid toward arrearages shall be used in the
average.
(b)
Household with
less than three months of payment history: The department shall estimate
the anticipated payments according to the obligation and discussion with the
client. This anticipation shall not include payments toward
arrearages.
H.
Non-deductable expenses:
(1)
Excluded reimbursement/vendor
payments:(a) That portion of any
allowable expense that is reimbursed to the household or that is paid through a
vendor payment to a third party is not allowable as a deduction.
(b) Actual utility expense deductions or the
SUA, as appropriate, shall be allowed for households receiving payments from
LIHEAP, or receiving energy assistance payments under a program other than
LIHEAP, as long as the household continues to incur out/of/pocket expenses for
home heating or cooling.
(c) A
reimbursement paid by HUD or FHA to a household, or indirectly to a utility
provider, is not allowed as a deductible expense.
(d) A household receiving HUD or FHA utility
reimbursements shall be entitled to the SUA if it incurs heating or cooling
costs exceeding the amount of excluded utility reimbursements.
(2)
Household member
provides service:(a) When one
household member pays another household member to provide a product or service,
the money that is exchanged is neither an expense for one nor income for the
other household member. Expenses are deductible only when a product or service
is provided by someone outside the household and the household makes a money
payment for the product or service.
(b) Similarly, income is not counted for one
household member who is paid by another household member to obtain wood for
home heating. The actual cost of the wood is allowed as a utility expense if an
outside money payment is made. Money exchanged between household members is not
considered income to the individual receiving the money and is not an expense
to the member paying it.
(3)
Past due shelter expenses:
Payment on delinquent rent, mortgage, property taxes or utilities are not
allowed as deductible expenses even if not previously billed.