4

4. Expenses must be submitted timely for consideration as a deduction: a) Expenses incurred in the three (3) months prior to the month of the current application must be submitted prior to approval of the application, unless third party payments have not been finalized, in which case expense(s) must be submitted no later than the month following the month the final expense is known and verifiable. b) Expenses incurred after the Medicaid eligibility is approved must be submitted no later than the month following the month the final expense is known and verifiable. Expenses must be incurred or received during a month of eligibility. c) Expense(s) that are not reported timely are forfeited or result in the allowance of only a portion of the expense as determined by the balance that remains had the expense been reported timely. 5. Allowable expenses are deducted from available income. A deduction is not allowed if the individual has no income or income has been depleted by allowing deductions for the CS or other family member(s). Incurred expenses that would otherwise have been allowed during periods of zero ($0) Medicaid Income are forfeited. This includes expenses that would have been allowed but for: a) Protection of income in the month of entry. The remaining balance of such expenses will be allowed in subsequent month(s), if applicable. b) An ongoing expense that is carried over into future months until the expense is depleted results in forfeiting timely submitted expenses because there is no income available. NCME’s are not held or delayed until income becomes available. E. Prior to January 1, 2019, NCME’s were allowed as follows: 1. Only one (1) health insurance premium was allowable as a deduction from Medicaid Income. 2. Expenses for medically necessary care, services and items incurred by an applicant or recipient were limited to covered State Plan services that exceeded the allowable limit(s) for the service.