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

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

Updated February 14, 2012, Replacing July 24, 2008