B Expenses Incurred While an Application is Pending SOC Examples

1)    Unpaid Medical Expense

The customer applied for ALTCS in July and is eligible.  She has an unpaid bill for a non-covered medical expense incurred in June.  The unpaid expense is deducted from the July SOC.  If the expense is more than the share of cost without the deduction, the remaining unpaid balance is allowed as a share of cost deduction for August and ongoing months until the full amount has been allowed.

2)    Paid Medical Expense

The customer applies for ALTCS in May.  He does not qualify for ALTCS in May, but is approved for June and ongoing.  The customer incurred and paid a non-covered medical expense in May.  Since the bill was paid in a month in which the customer was ineligible, it cannot be allowed as a SOC deduction for a later eligible month.