Valid medical expenses are determined as follows:
- Is an allowable medical expense AND
- Medical Expense occurred within the medical expense expiry time limit AND
- Medical Expense is medically necessary AND
- Medical Expense is NOT on hold AND
- Medical Expense has an available amount AND
- Medical Expense is available for use towards Spend Down AND
- Medical Expense was incurred by a valid household member
- Allowable Medical Expenses are documented in the decision tables within the implemented rule set.