1. (a) Acceptable verification of allowable deduction amounts for medical assistance programs that do not determine income pursuant to 42 CFR 435.603 shall include:

   1. (1) For training expenses:

      1. a. The same documentary evidence required under He-W 606.68 for transportation costs, special clothing, child care costs, and other allowable expenses; and
      2. b. A letter from an official of the training program which states that the expense is required and a receipt or other verification showing the amount which is required to be paid for the expense;
   2. (2) For court-ordered child support, a copy of the most current court order;
   3. (3) For court-ordered alimony, a copy of the most current court order;
   4. (4) For garnishments, a letter from the employer; and

   5. (5) For incurred current medical expenses and prior medical debts of an individual residing in a nursing facility:

      1. a. Provider bills, reminder notices and collection agency notices which are dated within 30 days of the month to which the debt is expected to be applied;
      2. b. A statement from the insurance company of the intent to pay covered charges, as indicated by an explanation of medical benefit;
      3. c. The medical service provider's bill showing insurance payment;
      4. d. District office collateral verification by letter or telephone with the insurance or medical provider of the charges and allowances toward medical services; or
      5. e. Historical data previously known to the district office which documents the amount of the charges and allowances toward recurring medical services.
2. (b) For all medical assistance programs, if the individual refuses or fails to provide verification of a claimed expense, the amount of the unverified expense shall not be considered an allowable deduction.

Source. #10895, eff 7-22-15