A deduction is considered in the month the expense is billed or otherwise
becomes due. However, in the case of reimbursable medical expenses, a deduction
can only be considered within thirty days of receiving the verification of the amount
of reimbursement. The preceding applies regardless of when the assistance group
intends to pay the expense. Deductions from income shall be verified in accordance
with rule 5101:4-2-09 of the Administrative Code.
Deductions for each assistance group are allowed only for the following:
(A)Gross earned income
deduction: twenty per cent deduction of gross earned income. No additional deductions
(i.e., taxes, pensions, union dues, and the like) except for costs of self-employment,
are allowed from earned income. Excluded earned income is not subject to this deduction.
The earned income of a disqualified member is subject to this deduction.
(B)Standard deduction:
each assistance group regardless of its income receives the corresponding standard
deduction for the assistance group size. In accordance with 7 C.F.R 273.9 (in effect
on 1/01/2014), the United States department of agriculture (USDA) food nutrition
service (FNS) determines the amount of the standard deduction based on the federal
poverty guidelines and indexing of the cost of living increase for each federal
fiscal year. The Ohio department of job and family services (ODJFS) provides this
figure to the county agencies on an annual basis via a food assistance change transmittal,
that can be found in the food assistance certification handbook at the ODJFS website.
(C)Excess medical
deduction: that portion of medical expenses that is nonreimbursable, over thirty-five
dollars per month, excluding special diets, incurred by any assistance group member
who is elderly or disabled as defined in rule 5101:4-1-03 of the Administrative
Code.
(1)Who is eligible
for this deduction?
(a)Spouses or other
persons receiving benefits as a dependent of the supplemental security income (SSI)
or disability recipient are not eligible to receive the deduction.
(b)Persons receiving
emergency SSI benefits based on presumptive eligibility are eligible for this deduction.
(c)An assistance
group with potential categorical eligibility that contains an SSI applicant that
is determined ineligible but later becomes categorically eligible and entitled to
restored benefits shall receive restored benefits using the excess medical deduction
from the beginning of the period for which SSI benefits are paid, or the original
supplemental nutrition assistance program (SNAP) application date, whichever is
later, when the assistance group incurs such expenses.
(2)Allowable medical
costs are limited to the following:
(a)Medical and dental
care, including psychotherapy and rehabilitation services, provided by a licensed
practitioner authorized by the state or another qualified health professional.
(b)Hospitalization
or outpatient treatment, nursing care, and nursing home care. Also included are
payments by the assistance group for an individual who was an assistance group member
immediately prior to entering a hospital or nursing home provided by a facility
recognized by the state.
(c)Prescription drugs
when prescribed by a licensed practitioner 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, incontinence products,
sick-room equipment (including rental) or other prescribed equipment or supplies
are deductible. The cost of any Schedule I controlled substance under the Controlled
Substances Act 21 U.S.C. 812 (1970) including medical marijuana and any expenses
associated with its use, are not deductible.
(d)Health and hospitalization
insurance policy premiums. 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.
(e)Medicare premiums
and any cost-sharing or spend-down expenses incurred by medicaid recipients, as
described in 7 C.F.R. 273.9.
(f)Dentures, hearing
aids, and prosthetics.
(g)Costs associated
with any animal (not limited to any type of animal) specially trained to serve the
needs of an elderly or disabled assistance group member when:
(i)The animal is
specially trained to assist the individual with the medical issue for which the
animal is prescribed, and the individual cannot readily perform on their own (specific
types of trainings, credentials or certifications are not required); and
(ii)The costs are
associated with securing and maintaining the animal, including but not limited to,
veterinarian bills and food costs.
(h)Eyeglasses prescribed
by a physician skilled in eye disease or by an optometrist.
(i)Monthly telephone
fees for amplifiers and warning signals for handicapped persons, and costs of telephone
typewriter equipment for the deaf.
(j)Reasonable costs
of transportation and lodging to obtain medical treatment or services. "Reasonable
costs for transportation" shall be defined as the current federal or state
mileage reimbursement rate, whichever is higher, for private automobiles, or actual
costs when other forms of transportation are used. Verification is required only
when costs exceed the higher of the federal or state mileage reimbursement rate
or the rate charged is for public transportation (e.g., local bus service).
(k)Maintaining an
attendant homemaker, home health aide, child care services, or housekeeper, necessary
due to age, infirmity, or illness. In addition, an amount equal to the one-person
allotment shall be deducted as a medical expense when the assistance group 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 county agency
is only required to update the allotment amount at the next scheduled reapplication;
however, the county agency may do so earlier. When an assistance group incurs attendant
care costs that could qualify under both the medical deduction and dependent care
deduction, the county agency shall treat the cost as a medical expense.
(D)Child/dependent
care deduction: payments for the actual verified expenses for the care of an individual
for whom the assistance group provides dependent care, including care of a child
under the age of eighteen or an incapacitated person of any age in need of care.
A child care expense that is reimbursed or paid for by the Ohio works first program
under Title IV-A of the Social Security Act, (42 U.S.C. 618 (2/2006)) shall not
be deductible.
(1)Dependent care
expenses are allowable deductions when determined necessary for a group member to:
(a)Search for, accept
or continue employment;
(b)Comply with the
employment and training requirements described in rule 5101:4-3-30 of the Administrative
Code; or
(c)Attend training
or education in preparation for employment under rule 5101:4-3-30 of the Administrative
Code, unless covered by educational income which has been excluded under rule 5101:4-4-13
of the Administrative Code.
(2)Dependent care
expenses must be separately identified, necessary to participate in the care arrangement,
and not already paid by another source on behalf of the household. Allowable dependent
care expenses are limited to:
(a)The costs of care
given by a care facility or an individual care provider, including a relative, so
long as the relative providing care is not part of the same SNAP assistance group
as the child or dependent adult receiving 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.
(3)For purposes of
paragraph (D) of this rule, "incapacitated" is defined as any permanent
or temporary condition that prevents an individual from participating fully in normal
activities, including but not limited to work or school, without supervision and
that requires the care of another person to ensure the health and safety of the
individual, or a condition or situation that makes a lack of supervision risky to
the health and safety of that individual.
(4)An assistance group
incurring attendant care expenses that could qualify under both the medical deduction
and/or child/dependent care deduction may be deducted as either a medical expense
or child/dependent care expense, but not both.
(E)Shelter costs:
monthly shelter costs over fifty per cent of the assistance group's income after
all other deductions contained in this rule have been allowed. When the assistance
group does not contain an elderly or disabled member, as defined in rule 5101:4-1-03
of the Administrative Code, the shelter deduction cannot exceed the maximum shelter
deduction provided. These assistance groups shall receive an excess shelter deduction
for the entire monthly cost that exceeds fifty per cent of the assistance group
income after all other deductions contained in this rule have been allowed. An assistance
group with potential categorical eligibility that contains an SSI applicant that
is determined ineligible but later becomes categorically eligible and entitled to
restored benefits shall receive restored benefits using the excess shelter deduction
from the beginning of the period for that SSI benefits are paid or the original
SNAP application date, whichever is later, when the assistance group incurs such
expenses. The maximum shelter cost deduction shall be adjusted each fiscal year
and the county agencies will be informed of the amount through the issuance of a
food assistance change transmittal, that can be found in the food assistance certification
handbook at the ODJFS website. Shelter costs shall include only the following:
(1)An assistance group
that receives the homeless shelter deduction under paragraph (H) of this rule shall
not have its shelter expense considered under paragraphs (E) and (F) of this rule.
(2)Continuing charges
for the shelter occupied by the assistance group, including rent, first and second
mortgages, condo and association fees, or other continuing charges leading to the
ownership of shelter, such as loan repayments for the purchase of a mobile home,
including interest on such payments. Examples of shelter costs homeless assistance
groups may incur are fees for staying at shelters for the homeless, fees for renting
a motel room for a number of days or hours each month, etc. When a homeless assistance
group is living in its car, the car payment can qualify as a shelter cost.
(3)Property taxes,
state and local assessments, and insurance on the structure itself, but not separate
costs for insuring furniture or personal belongings. When an assistance group is
living in a car, only that portion of the car insurance premium that covers the
car itself may be allowed. License plate fees on a motor home or car that represents
an assistance group's residence are not assessments and they are not allowable.
(4)One of the utility
allowances listed under paragraph (F) of this rule when applicable. To receive a
utility allowance there shall be an incurred utility expense. Only separate identifiable
utility costs are allowable.
(5)Charges for the
repair of the home itself that was substantially damaged or destroyed due to a natural
disaster such as a fire or flood. Costs for replacement or repair of normal home
furnishings (e.g., bed, refrigerator, stove) or personal belongings (e.g., clothes,
jewelry, linen) are not covered by this rule. Shelter costs shall not include charges
for repair of the home that have been or will be reimbursed by private or public
relief agencies, insurance companies, or from any other source.
(6)The shelter costs
for the home when temporarily unoccupied by the assistance group because of employment
or training away from home, illness, or abandonment of the home due to natural disaster
or casualty loss. For the costs of a vacated home to be included in shelter costs,
the assistance group shall intend to return to the home; the current occupants of
the home, when any, shall not be claiming the shelter costs for SNAP purposes; and
the home shall not be leased or rented in the assistance group's absence. The county
agency is not required to assist assistance groups in obtaining verification of
this expense when verification would have to be obtained from a source outside of
the project area. assistance groups shall provide verification of actual utility
costs for unoccupied homes when the costs would result in a deduction. An assistance
group that has both an occupied home and an unoccupied home is only entitled to
one standard utility allowance.
(F)Utility allowance:
utility allowances are established by ODJFS and are reviewed and updated annually.
The amounts are updated in the statewide automated eligibility system and the county
agencies are notified of the amounts by issuance of a food assistance change transmittal,
that can be found in the food assistance certification handbook at the ODJFS website.
The utility allowances include the costs of heating fuel, electricity, water, sewer,
trash collection, and telephone service. A "cooling cost" is a verifiable
utility expense relating to the operation of air conditioning systems or room air
conditioners. This does not include costs relating to the operation of fans.
Types of utility allowances and who is entitled to them:
Each assistance group charged for a utility expense is entitled a
utility allowance. assistance groups that are not directly billed by a utility company
but are billed separately when costs are shared or are owed to a landlord are entitled
to a utility allowance. County agencies shall not prorate utility allowances.
(1)Standard utility
allowance: deduction for the assistance groups that incur heating and or cooling
costs. The standard utility allowance includes the costs of heating fuel, electricity,
cooling costs, water, sewer, trash collection and telephone service.
Assistance groups entitled to the use of the standard utility allowance
include:
(a)Assistance groups
that are not considered homeless that incur heating and/or cooling expenses separately
from their rent or mortgage are entitled to the standard utility allowance.
(b)Assistance groups
that incur verified heating costs during the heating season continue to qualify
for the standard utility allowance throughout the year, regardless of whether they
also incur cooling costs, and vice versa.
(c)Assistance groups
in private rental housing that are billed by their landlords on the basis of individual
usage or that are charged a flat rate based on their individual usage for heating
or cooling expenses separately from their rent are entitled to the standard utility
allowance.
(d)Assistance groups
that received more than twenty dollars of direct or indirect assistance in the past
twelve months under the Low Income Home Energy Assistance Act of 1981 (LIHEAA),
42 U.S.C. 94 (01/2012) such as the home energy assistance program (HEAP) (which
is excluded as income), are entitled to the standard utility allowance whether or
not the assistance group incurs any out-of-pocket expenses.
(e)Assistance groups
that receive direct or indirect energy assistance that is counted as income and
that incur a heating or cooling expense are entitled to use the standard utility
allowance.
(f)Assistance groups
that receive direct or indirect assistance that is excluded from income consideration
(other than that provided under the LIHEAA) such as utility reimbursements made
by the department of housing and urban development (HUD) and/or the farmers home
administration (FMHA) are entitled to use the standard utility allowance, only when
the amount of their utility heating and/or cooling expenses exceeds the amount of
the energy assistance or utility reimbursement provided.
(g)An assistance group
that has both an occupied and an unoccupied home is only entitled to one standard
utility allowance.
(h)Assistance groups
living in public housing units that have central utility meters and are charged
only for excess heating or cooling costs are entitled to the standard utility allowance,
regardless when they are charged by the utility company or the landlord.
(i)All assistance
groups that live with another individual, another assistance group or both, and
share heating and/or cooling costs, are entitled to the full standard utility allowance.
(2)Limited utility
allowance: deduction for the assistance groups that incur two or more utility expenses,
none of which is a heating or cooling expense, but may include a telephone expense.
(3)Single standard
utility allowance: deduction for assistance groups that incur one utility expense
that is not a heating, cooling or telephone expense.
(4)Standard telephone
allowance: deduction for assistance groups that only incur a telephone expense.
(G)Child support:
a deduction is provided for legally obligated child support payments paid by an
assistance group member to or for a nonhousehold member, including payments made
to a third party on behalf of the nonhousehold member (vendor payments). The county
agency shall allow a deduction for amounts paid toward arrearages. Alimony payments
made to or for a nonhousehold member shall not be included in the child support
deduction. County agencies shall budget child support payments prospectively regardless
of the budgeting system used for the assistance group's other circumstances.
(H)Homeless shelter
deduction: an assistance group that is considered to be homeless is eligible to
have this deduction taken in the determination of its net income. To be eligible
for this deduction, the homeless assistance group shall incur shelter costs during
the month. Homeless assistance groups shall be given the choice of the homeless
shelter deduction or actual shelter costs. A homeless assistance group receiving
the homeless shelter deduction cannot have its shelter expenses considered under
paragraphs (E) and (F) of this rule. The homeless shelter deduction is established
by FNS and is set at one hundred forty-three dollars per
month the amount, when changed, will be issued through
a food assistance change transmittal. Food assistance change transmittals can be
found in the food assistance certification handbook on the Ohio department of job
and family services website.
(I)Verification
of deductions
Nonreimbursable medical expenses of elderly or disabled members shall
be verified at initial certification, reapplication, and whenever a change of more
than twenty-five dollars is reported. Shelter and utility expenses, shelter and
utility expenses for an unoccupied home, other shelter expenses, dependent care
expenses, and legal obligation and actual child support payments shall be verified.
Also, when other deductible expenses claimed will result in a deduction, the expenses
shall be verified. Information on the application is questionable when it is inconsistent
with information elsewhere on the application or previous application, statements
made by the applicant, information received by the county agency, or in the case
of utility expenses, inconsistent with normal costs for the season and shall be
verified.
(J)When a deductible
expense shall be verified and obtaining the verification may delay the assistance
group's certification, the county agency shall advise the assistance group that
the assistance group's eligibility and benefit level shall be determined without
deducting the unverified expense. When the expense cannot be verified within thirty
days of the date of application, the county agency shall determine the assistance
group's eligibility and benefit level without deducting the unverified expense.
When the assistance group subsequently provides the missing verification, the county
agency redetermines the assistance group's benefits, and provides increased benefits,
when any, in accordance with the timeliness standards for reported changes. The
assistance group is entitled to the restoration of any benefits as a result of the
disallowance of the expense only when the expense could not be verified within the
thirty-day processing standard because the county agency failed to allow the assistance
group sufficient time to verify the expense. When the assistance group would be
ineligible unless the expense is allowed, the assistance group's application shall
be handled as provided in rule 5101:4-5-07 of the Administrative Code.
Effective: 7/1/2019
Five Year Review (FYR) Dates: 9/1/2019
Certification: CERTIFIED ELECTRONICALLY
Date: 06/20/2019
Promulgated Under: 111.15
Statutory Authority: 5101.54
Rule Amplifies: 5101.54
Prior Effective Dates: 06/02/1980, 04/01/1981, 06/01/1981, 10/01/1981,
01/22/1982, 02/01/1982, 05/01/1982, 01/01/1983, 05/20/1983, 09/24/1983 (Temp.),
11/11/1983, 02/01/1984 (Temp.), 04/01/1984, 10/01/1984 (Emer.), 11/17/1984, 08/16/1985
(Emer.), 11/01/1985 (Emer.), 01/01/1986, 05/01/1986 (Emer.), 06/15/1986 (Emer.),
08/01/1986 (Emer.), 10/30/1986, 04/10/1987 (Emer.), 06/22/1987, 08/01/1987 (Emer.),
10/25/1987, 10/29/1987 (Emer.), 01/22/1988, 09/01/1988 (Emer.), 11/28/1988, 10/01/1989
(Emer.), 12/21/1989, 01/05/1990 (Emer.), 03/22/1990, 10/01/1990 (Emer.), 11/08/1990,
07/01/1991, 10/01/1991 (Emer.), 12/20/1991, 08/01/1992 (Emer.), 10/01/1992 (Emer.),
10/30/1992, 10/01/1993, 11/15/1993, 07/01/1994, 09/01/1994 (Emer.), 10/01/1994,
12/01/1994 (Emer.), 01/01/1995, 05/01/1995, 10/01/1995 (Emer.), 10/31/1995, 12/15/1995,
02/01/1996 (Emer.), 03/14/1996, 09/22/1996 (Emer.), 10/01/1996 (Emer.), 12/21/1996,
01/01/1997 (Emer.), 03/23/1997, 04/01/1997 (Emer.), 06/06/1997, 10/01/1997 (Emer.),
11/20/1997, 03/01/1998 (Emer.), 06/01/1998, 10/01/1998 (Emer.), 12/31/1998, 10/01/1999
(Emer.), 12/16/1999, 10/01/2000 (Emer.), 12/10/2000, 03/01/2001 (Emer.), 06/01/2001
(Emer.), 10/01/2001 (Emer.), 12/13/2001, 10/01/2002 (Emer.), 11/11/2002, 10/01/2003
(Emer.), 12/11/2003, 10/01/2004 (Emer.), 12/06/2004, 10/01/2005 (Emer.), 12/22/2005,
10/01/2006 (Emer.), 11/23/2006, 10/01/2007 (Emer.), 10/29/2007, 10/01/2008 (Emer.),
12/18/2008, 05/01/2009, 07/01/2013, 09/01/2014, 03/01/2017, 01/01/2018