Appendix B Medical Expense Deductions

Types Of
Medical
Expenses

NMP
Spend-Down
55 Pa. Code § 181.13(e)

MNO
Spend-Down
55 Pa. Code § 181.14(d)

Retroactive MNO
55 Pa. Code §
181.12(c)

Paid (by client)

Paid in the month for which spend-down is requested.

Paid in the month of application or the retroactive period.

Paid in the month of application or the retroactive period.

Unpaid

Incurred in the retroactive period. Expected to be charged in the month for which spend-down is requested.

Incurred in the retroactive period. Expected to be charged in the six-month period.

Charged in the retroactive period.

A medical expense is an allowable deduction if the following conditions are met:

Updated February 14, 2012, Replacing July 10, 2008