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Administrative Plan 7/1/2025 Page 7-47 <br />In addition, the PHA must verify that: <br /> The household is eligible for the deduction. <br /> The costs to be deducted are qualified health and medical care expenses. <br /> The expenses are not paid for or reimbursed by any other source. <br /> Costs incurred in past years are counted only once. <br />Eligible Household <br />The health and medical care expense deduction is permitted only for households in which the <br />head, spouse, or cohead is at least 62, or a person with disabilities. The PHA must verify that the <br />family meets the definition of an elderly or disabled family provided in the Eligibility chapter <br />and as described in Chapter 7 (7-IV.A.) of this plan. <br />Qualified Expenses <br />To be eligible for the health and medical care expense deduction, the costs must qualify as <br />medical expenses. See Chapter 6 for the PHA’s policy on what counts as a medical expense. <br />Unreimbursed Expenses <br />To be eligible for the health and medical care expense deduction, the costs must not be <br />reimbursed by another source. <br />SAHA Policy <br />The family will be required to certify that the medical expenses are not paid or <br />reimbursed to the family from any source. If expenses are verified through a third party, <br />the third party must certify that the expenses are not paid or reimbursed from any <br />other source. <br />Expenses Incurred in Past Years <br />SAHA Policy <br />At new admission and interim reexam, when anticipated costs are related to on-going <br />payment of medical bills incurred in past years, the PHA will verify: <br />The anticipated repayment schedule <br />The amounts paid in the past. However, medical expenses that are paid in full <br />without an outstanding balance will not be considered for anticipated medical <br />deduction and <br />Whether the amounts to be repaid have been deducted from the family’s annual <br />income in past years <br />EXHIBIT 1