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Family Members Permanently Confined for Medical Reasons <br />If a family member is confined to a nursing home or hospital on a permanent basis, that person is <br />no longer considered a family member and the income of that person is not counted [HCV GB, <br />p. 5-22]. <br />SAHA Policy <br />SAHA will request verification from a responsible medical professional and will use this <br />determination. If the responsible medical professional cannot provide a determination, the <br />person generally will be considered temporarily absent. The family may present evidence <br />that the family member is confined on a permanent basis and request that the person not <br />be considered a family member. <br />When an individual who has been counted as a family member is determined <br />permanently absent, the family is eligible for the medical expense deduction only if the <br />remaining head, spouse, or cohead qualifies as an elderly person or a person with <br />disabilities. <br />Joint Custody of Dependents <br />SAHA Policy <br />Dependents that are subject to a joint custody arrangement will be considered a member <br />of the family, if they live with the applicant or participant family 51 percent or more of <br />the time. <br />When more than one applicant or participant family is claiming the same dependents as <br />family members, the family with primary custody at the time of the initial examination or <br />reexamination will be able to claim the dependents. If there is a dispute about which <br />family should claim them, SAHA will make the determination based on available <br />documents such as court orders, school records, or an IRS return showing which family <br />has claimed the child for income tax purposes. <br />EXHIBIT 1