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Conditions 5 and 6 - Payment Status

Medical expense payment status is the fifth and sixth conditions that must be met to allow the expense as a deduction.

Condition 5 allows an expense incurred in any of three months prior to the month the client submits a request for MA-LTC if it is unpaid as of the date the county receives the request, unless it was incurred in a month that MA is approved. 

Note: The client may be a MinnesotaCare enrollee at the time of request, but the expense must be unpaid. 

Action:

Do not allow the February LTCF costs as a medical expense deduction because they were paid prior to the date she requested payment of LTC services. Allow unpaid medical expenses incurred in February, March and April as a deduction if all other conditions are met.

Condition 6 allows a paid or unpaid expense incurred in a month for which the client is approved for MA.

Action:

Allow the June expense as a medical expense deduction if it meets all other conditions. Allow any paid, or unpaid, medical expenses incurred while Crystal was an MA enrollee as a deduction if all other conditions are met.

 

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The MA-LTC Medical Expense Deduction - Allowable Medical Expenses

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